Individual provider Active NPI

Stefani Rodriguez, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1255008496
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37602 Issued in FL
Practice address
8585 Sunset Dr Ste 103B
Miami, FL 33143-3753
Phone
(305) 274-3311
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37602 FL Primary

Addresses

Primary practice location

8585 Sunset Dr Ste 103B
Miami, FL 33143-3753

Mailing address

8585 Sunset Dr Ste 103B
Miami, FL 33143-3753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021002025 FL Practitioner - Physical Therapist in Private Practice 4082002167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Pinecrest PT-South LLCGroup PAC ID 9436413077, 6 clinicians

Practice addresses (Care Compare)

13101 S Dixie Hwy
Suite 330
Miami, FL 33156-6530
Phone (786) 732-7438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37602FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Physical Therapy L.L.C. Physical Therapist CurrentSince Mar 21, 2023 Accepting new patients
Pinecrest PT-South L.L.C. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Florida Healthcare Network Inc Physical Therapist CurrentSince Oct 12, 2021 Accepting new patients

Locations

3655 NW 107th Ave
Ste 107
Doral, FL 33178
Phone (786) 452-0774

13101 S Dixie Hwy
Ste 330
Pinecrest, FL 33156
Phone (786) 732-7438

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1255008496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 SUNSET DR STE 103B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 SUNSET DR STE 103B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433753",
            "telephone_number": "305-274-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEFANI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.