NPIMap

Organization Active NPI

Blue Millenium Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Medley, FL
National Provider Identifier
1306134374
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM27251
Legal business name
BLUE MILLENIUM REHABILITATION, INC.
Practice address
7911 NW 72ND Ave Ste 103B
Medley, FL 33166-2226
Phone
(305) 456-7798
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Juan Fernando Lopez, L.M.T
Title
President
Phone
30054567798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM27251 Primary

Addresses

Primary practice location

7911 NW 72ND Ave Ste 103B
Medley, FL 33166-2226

Mailing address

7911 NW 72ND Ave Ste 103B
Medley, FL 33166-2226
Phone (305) 456-7798

National Provider Directory

National Provider Directory

Locations

7911 NW 72nd Ave
Ste 103B
Medley, FL 33166
Phone (305) 456-7798

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1306134374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE STE 103B",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662226",
            "telephone_number": "305-456-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE STE 103B",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662226",
            "telephone_number": "305-456-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MILLENIUM REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "30054567798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": "MM27251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.