Organization Active NPI

Lyfe Rehab and Wellness Center

  • Physical Medicine & Rehabilitation Physician
  • Miami Lakes, FL
National Provider Identifier
1316550502
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LYFE REHAB AND WELLNESS CENTER
Practice address
6175 NW 153Rd St Ste 204
Miami Lakes, FL 33014-2435
Phone
(786) 536-7260
Fax
(888) 412-1788
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Jessica Reyes
Title
Manager
Phone
(786) 536-7280

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

6175 NW 153Rd St Ste 204
Miami Lakes, FL 33014-2435

Mailing address

6175 NW 153Rd St Ste 204
Miami Lakes, FL 33014-2435
Phone (786) 536-7260

National Provider Directory

National Provider Directory

Locations

6175 NW 153rd St
Ste 204
Miami Lakes, FL 33014
Phone (786) 536-7260

Practitioners & affiliated clinicians

Practitioners 1

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": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1316550502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST STE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142435",
            "telephone_number": "786-536-7260",
            "fax_number": "888-412-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST STE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142435",
            "telephone_number": "786-536-7260",
            "fax_number": "888-412-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYFE REHAB AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-536-7280"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.