Organization Active NPI

Physical Therapy Professional Center, Inc.

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1356623656
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY PROFESSIONAL CENTER, INC.
Practice address
7170 SW 117TH Ave
Miami, FL 33183-2808
Phone
(305) 598-8788
Fax
(305) 598-8588
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Dr. Joseph Peter Gambardella, D.C.
Title
Owner
Phone
(305) 598-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7170 SW 117TH Ave
Miami, FL 33183-2808

Mailing address

7170 SW 117TH Ave
Miami, FL 33183-2808
Phone (305) 598-8788

National Provider Directory

National Provider Directory

Locations

7170 SW 117th Ave
Miami, FL 33183
Phone (305) 598-8788

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1356623656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832808",
            "telephone_number": "305-598-8788",
            "fax_number": "305-598-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832808",
            "telephone_number": "305-598-8788",
            "fax_number": "305-598-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PROFESSIONAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "GAMBARDELLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-598-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Sep 13, 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.