Active NPI
Mighty Health Medical Services, P.a.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1295577724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MIGHTY HEALTH MEDICAL SERVICES, P.A.
- Practice address
- 390 NE 191St St Ste 8174
Miami, FL 33179-3899 - Phone
- (714) 873-6202
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Li
- Title
- Chief Administrative Officer
- Phone
- (714) 873-6202
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | ||
| General Practice Registered Nurse | 163WG0000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| General Practice Physician | 208D00000X | NU | ||
| Occupational Therapy Assistant | 224Z00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Physical Therapy Assistant | 225200000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
390 NE 191St St Ste 8174
Miami, FL 33179-3899
Mailing address
390 NE 191St St Ste 8174
Miami, FL 33179-3899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA, IL
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
390 NE 191st St
Ste 8174
Miami, FL 33179
Phone (714) 873-6202
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Internal Medicine Physician
- Spring, TX
- NPI 1023219862
-
- Internal Medicine Physician
- Baytown, TX
- NPI 1083845523
-
- Family Nurse Practitioner
- Shavano Park, TX
- NPI 1538793765
-
- Family Medicine Physician
- Missouri City, TX
- NPI 1932100054
-
- Ophthalmology Physician
- Delray Beach, FL
- NPI 1902904840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1295577724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 NE 191ST ST STE 8174",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 NE 191ST ST STE 8174",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793899",
"telephone_number": "714-873-6202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGHTY HEALTH MEDICAL SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "714-873-6202"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Jun 6, 2024; 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.