Miamigrand Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIAMIGRAND REHABILITATION

Practice address

6135 NW 167 St
Suite #E28A
Miami, FL 33015

Phone

(305) 826-4004

Fax

(305) 826-4477

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By 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

Sonia Ilera

Title

Administrator

Phone

(308) 826-4004

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Miami Grand Rehabilitation Centerinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Miami Grand Rehabilitation Center,Inc.

  • Health Service Clinic/Center
  • Hialeah, FL
  • NPI 1750707089
  NPD tax ID

Locations

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1295995819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 NW 167 ST",
            "address_2": "SUITE #E28A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-826-4004",
            "fax_number": "305-826-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 NW 167 ST",
            "address_2": "SUITE #E28A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-826-4004",
            "fax_number": "305-826-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMIGRAND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ILERA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-826-4004"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891807400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami-Dade Juvenile Services Department
• Miami-Dade Medical Solutions, Inc.
• Miami-Dade Targeted Case Management, Corp
• Miamidadecountydepartment of Human Services Dsail
• Miamigo Social Services LLC
• Miamipsych Concierge, LLC (Virtual Psychiatric Care)
• Miavip Medical Staffing,LLC
• Florence Jean Miazgowicz, MA
• Mib Medical Equipment
• Marcel Eusebiu Mic, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.