Organization Active NPI

Akl Active Inc

  • Clinic/Center
  • Miami Springs, FL
National Provider Identifier
1245665215
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AKL ACTIVE INC
Practice address
101 Westward Dr Ste 103
Miami Springs, FL 33166-5211
Phone
(305) 290-0622
Fax
(866) 802-2363
NPI assigned
Sep 10, 2013
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alejandro ToroNPI 1386952356
Title
Director
Phone
(305) 290-0622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

101 Westward Dr Ste 103
Miami Springs, FL 33166-5211

Mailing address

101 Westward Dr Ste 103
Miami Springs, FL 33166-5211
Phone (305) 290-0622

Other identifiers 1

IdentifierTypeStateIssuer
009550500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200611001617 FL Part B Supplier - Clinic/Group Practice 8628499019 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Longwood, FL

National Provider Directory

National Provider Directory

Locations

1712 N Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 272-8813

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1245665215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTWARD DR STE 103",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665211",
            "telephone_number": "305-290-0622",
            "fax_number": "866-802-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTWARD DR STE 103",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665211",
            "telephone_number": "305-290-0622",
            "fax_number": "866-802-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKL ACTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "TORO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-290-0622"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009550500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.