Organization Active NPI

Life Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1326409715
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
27898 Issued in FL
Legal business name
LIFE PHYSICAL THERAPY, LLC
Practice address
8620 NW 64TH St
#15
Miami, FL 33166-2672
Phone
(305) 834-8584
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Mr. Carlos Jimenez, PT
Title
Physical Therapist
Phone
(305) 904-7732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 27898 FL Primary

Addresses

Primary practice location

8620 NW 64TH St
#15
Miami, FL 33166-2672

Mailing address

8620 NW 64TH St
#15
Miami, FL 33166
Phone (305) 834-8584

National Provider Directory

National Provider Directory

Locations

8620 NW 64th St
Ste 15
Miami, FL 33166
Phone (305) 834-8584

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1326409715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 NW 64TH ST",
            "address_2": "#15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-834-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 NW 64TH ST",
            "address_2": "#15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662672",
            "telephone_number": "305-834-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-904-7732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "27898",
            "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 Mar 11, 2016; 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.