Organization Active NPI

Treasure Coast Rehabilitation L L C

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1306097308
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19940 Issued in FL
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

Updated by the provider on Dec 1, 2009

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.