Ultimate Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15284 Issued in FL

Legal business name

ULTIMATE REHAB INC

Practice address

1770 NE Miami Gardens Dr
N Miami Beach, FL 33179-5301

Phone

(305) 944-8290

Fax

(305) 944-8061

NPI assigned

Jan 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marisela Gonzalez, PTNPI 1033175443

Title

President

Phone

(305) 944-8290

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Marisela Gonzalez, PT

  • Physical Therapist
  • N Miami Beach, FL
  • NPI 1033175443
  Authorized official Same address or phone

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255487807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NE MIAMI GARDENS DR",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-944-8290",
            "fax_number": "305-944-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 NE MIAMI GARDENS DR",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-944-8290",
            "fax_number": "305-944-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARISELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-944-8290",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in N Miami Beach, FL
• Providers in N Miami Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.