Organization Active NPI

Bird Road Therapy Clinic, Inc.

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1346293487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC5739 Issued in FL
Legal business name
BIRD ROAD THERAPY CLINIC, INC.
Practice address
8362 SW 40TH St
Miami, FL 33155-3354
Phone
(305) 480-8166
Fax
(305) 485-8468
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Felix J Gonzalez
Title
President
Phone
(305) 480-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X HCC5739 FL Primary

Addresses

Primary practice location

8362 SW 40TH St
Miami, FL 33155-3354

Mailing address

8362 SW 40TH St
Miami, FL 33155-3354
Phone (305) 480-8166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346293487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553354",
            "telephone_number": "305-480-8166",
            "fax_number": "305-485-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553354",
            "telephone_number": "305-480-8166",
            "fax_number": "305-485-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD ROAD THERAPY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-480-8166"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC5739",
            "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 Aug 22, 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.