Individual provider Active NPI

Judith Neiman, R.P.T

  • Physical Therapist
  • Aventura, FL
National Provider Identifier
1265402101
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 6692 Issued in FL
Practice address
2627 NE 203Rd St
Suite 110
Aventura, FL 33180-1900
Phone
(305) 466-1388
Fax
(305) 466-9200
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 PT 6692 FL Primary

Addresses

Primary practice location

2627 NE 203Rd St
Suite 110
Aventura, FL 33180-1900

Mailing address

2627 NE 203Rd St
Suite 110
Aventura, FL 33180-1900
Phone (305) 466-1388

Other identifiers 1

IdentifierTypeStateIssuer
886539600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000109 FL Practitioner - Physical Therapist in Private Practice 3375441926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Therapy USA Inc.Group PAC ID 6204738420, 3 clinicians

Practice addresses (Care Compare)

2627 NE 203Rd St
Suite 110
Aventura, FL 33180-1945
Phone (305) 466-1388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 6692FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Therapy USA Inc. Physical Therapist CurrentSince Sep 1, 2005 Accepting new patients
Coral Medical Management Inc Past Accepting new patients
Marco a Nova MD PA PastSince Nov 9, 2015 Accepting new patients

Locations

2962 Aventura Blvd
#C
Aventura, FL 33180
Phone (305) 466-1388

3816 Hollywood Blvd
Unit 2
Hollywood, FL 33021
Phone (954) 893-8950

2627 NE 203rd St
Ste 110
Miami, FL 33180
Phone (305) 466-1388

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1265402101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 110",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "305-466-1388",
            "fax_number": "305-466-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 110",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "305-466-1388",
            "fax_number": "305-466-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMAN",
        "first_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "R.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 6692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886539600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.