Active NPI
Treasure Coast Rehabilitation L L C
- Physical Therapist
- Miami, FL
National Provider Identifier
1306097308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19940
- Legal business name
- TREASURE COAST REHABILITATION L L C
- Practice address
- 10240 SW 56TH St Ste 101-102
Miami, FL 33165-7071 - Phone
- (305) 275-3790
- Fax
- (305) 275-3791
- NPI assigned
- Oct 8, 2008
- 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
- Mr. Ernesto Gonzalez
- Title
- Owner
- Phone
- (305) 275-3790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19940 | FL | Primary |
Addresses
Primary practice location
10240 SW 56TH St Ste 101-102
Miami, FL 33165-7071
Mailing address
10240 SW 56TH St Ste 101-102
Miami, FL 33165-7071
Phone (305) 275-3790
National Provider Directory
National Provider DirectoryLocations
778 S US Highway 1
Vero Beach, FL 32962
Phone (772) 567-4661
130 S US Highway 1
Vero Beach, FL 32962
Phone (772) 978-9916
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Vero Beach, FL
- NPI 1922073097
-
- Chiropractor
- Fort Pierce, FL
- NPI 1134218365
-
- Physical Medicine & Rehabilitation Physician
- Riviera Beach, FL
- NPI 1699736041
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1285769398
-
- Physical Therapist
- Dover, DE
- NPI 1922192541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1306097308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 SW 56TH ST STE 101-102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657071",
"telephone_number": "305-275-3790",
"fax_number": "305-275-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 SW 56TH ST STE 101-102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657071",
"telephone_number": "305-275-3790",
"fax_number": "305-275-3791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE COAST REHABILITATION L L C",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2009-12-01",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "ERNESTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-275-3790",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19940",
"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 Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.