NPIMap

Organization Active NPI

Vista Rehab Center Corp

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1356630255
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA 52398 Issued in FL
Legal business name
VISTA REHAB CENTER CORP
Practice address
175 Fontainebleau Blvd Ste 1G2
Miami, FL 33172-4511
Phone
(786) 888-1097
Fax
(786) 888-1098
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Alfonso M Casteneda
Title
Massage Therapy
Phone
(786) 888-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA 52398 FL Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 1G2
Miami, FL 33172-4511

Mailing address

175 Fontainebleau Blvd. Ste 1G-2
Miami, FLORIDA 33172
UM
Phone (786) 888-1097

National Provider Directory

National Provider Directory
Tax ID family
Vista Rehab Center Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1356630255",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "175 FONTAINEBLEAU BLVD. STE 1G-2",
            "city": "MIAMI",
            "state": "FLORIDA",
            "postal_code": "33172",
            "telephone_number": "786-888-1097",
            "fax_number": "786-888-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1G2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-888-1097",
            "fax_number": "786-888-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA REHAB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "CASTENEDA",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MASSAGE THERAPY",
        "authorized_official_telephone_number": "786-888-1097"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA 52398",
            "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 31, 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.