Active NPI
Fabiana Luzardo, PT
- Physical Therapy Clinic/Center
- Aventura, FL
National Provider Identifier
1245813716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT36888
- Practice address
- 2999 NE 191St St Ste 230
Aventura, FL 33180-3115 - Phone
- (786) 740-9428
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | PT36888 | FL | Primary |
Addresses
Primary practice location
2999 NE 191St St Ste 230
Aventura, FL 33180-3115
Mailing address
329 Ives Dairy Rd Apt 3
Miami, FL 33179-3329
Phone (786) 740-9428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36888 | FL | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1245813716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 IVES DAIRY RD APT 3",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793329",
"telephone_number": "786-740-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 NE 191ST ST STE 230",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331803115",
"telephone_number": "786-740-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZARDO",
"first_name": "FABIANA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT36888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
- Lumini Medical Spa Corp
- Susan M Luscombe, M.D.
- Luvic Advanced Dentistry Aventura Inc (Luvic Aventura)
- Luxottica of America Inc (Oakley B088)
- Luxottica of America Inc (For Eyes (Cm230))
- Lymphedema Care Center of America
- Safiya Kim Lyn-Lassiter, MD
- Natalya Lyubynska, MD
- M. L. Beechler, P.a.
- Nicholas Michael Maccarrone, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.