Active NPI
Naohisa Inoue, ATC
- Rehabilitation Counselor
- Davie, FL
National Provider Identifier
1265709349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- AL 3051
- Practice address
- 7500 SW 30TH St
Davie, FL 33314-1020 - Phone
- (954) 452-7058
- Fax
- (954) 452-7069
- NPI assigned
- Nov 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | AL 3051 | FL | Primary |
Addresses
Primary practice location
7500 SW 30TH St
Davie, FL 33314-1020
Mailing address
7500 SW 30TH St
Davie, FL 33314-1020
Phone (954) 452-7058
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 |
|---|---|---|---|
| AL 3051 | FL | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1265709349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 SW 30TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333141020",
"telephone_number": "954-452-7058",
"fax_number": "954-452-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 SW 30TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333141020",
"telephone_number": "954-452-7058",
"fax_number": "954-452-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOUE",
"first_name": "NAOHISA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "FL",
"license": "AL 3051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.