Organization Active NPI

Physical Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1265654883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY SERVICES INC
Practice address
8390 W Flagler St
203
Miami, FL 33144-0000
Phone
(305) 221-1685
Fax
(305) 221-1686
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Herminsul Jara, PT
Title
President
Phone
(305) 987-1334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

8390 W Flagler St
203
Miami, FL 33144-0000

Mailing address

8390 W Flagler St
203
Miami, FL 33144-0000
Phone (305) 221-1685

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070727000316 FL Part B Supplier - Clinic/Group Practice 2163523622 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8390 W Flagler St
Ste 203
Miami, FL 33144
Phone (305) 221-1685

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265654883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440000",
            "telephone_number": "305-221-1685",
            "fax_number": "305-221-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440000",
            "telephone_number": "305-221-1685",
            "fax_number": "305-221-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "HERMINSUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-987-1334",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 22, 2020; 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.