Active PT SVCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21988 Issued in FL

Legal business name

ACTIVE PT SVCS

Practice address

3115 SW 98TH CT
Miami, FL 33165-2954

Phone

(305) 332-9821

Fax

(305) 229-6095

NPI assigned

Mar 8, 2012

Last updated

Mar 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisette Portes, PTNPI 1508137670

Title

President

Phone

(305) 332-9821

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisette Portes, MD

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1508137670

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1346514338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 SW 98TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652954",
            "telephone_number": "305-332-9821",
            "fax_number": "305-229-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SW 98TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652954",
            "telephone_number": "305-332-9821",
            "fax_number": "305-229-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PT SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "PORTES",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-332-9821",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Adult Day Care Center LLC
• Active Care Medical Center, Inc
• Active Day Florida, Inc. (Active Day of Tamiami)
• Active Day Florida, Inc. (Active Day at Nanas)
• Active Health Medical Supplies Inc
• Active Rehab Service, Inc.
• Active Therapy, Inc.
• Activus Corp
• Acts Adult Care Center LLC.
• Acts Adult Living Facilites LLC

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.