Active NPI
Nova Rehabilitation, Inc
- Occupational Therapist
- Miami, FL
National Provider Identifier
1366401937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- NOVA REHABILITATION, INC
- Practice address
- 10765 SW 104TH St
Miami, FL 33176-8164 - Phone
- (305) 979-9988
- Fax
- (844) 273-4740
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos Guillermo Collado, MOT, R/L
- Title
- President
- Phone
- (305) 979-9988
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
10765 SW 104TH St
Miami, FL 33176-8164
Mailing address
10765 SW 104TH St
Miami, FL 33176-8164
Phone (305) 979-9988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886329600 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Nova Care Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Miami, FL
- NPI 1952853988
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Miami, FL
- NPI 1487278198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454025600000",
"number": "1366401937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10765 SW 104TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768164",
"telephone_number": "305-979-9988",
"fax_number": "844-273-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10765 SW 104TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768164",
"telephone_number": "305-979-9988",
"fax_number": "844-273-4740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA REHABILITATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2016-01-29",
"status": "A",
"authorized_official_last_name": "COLLADO",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "GUILLERMO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-979-9988",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MOT, R/L"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886329600",
"state": "FL"
}
],
"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 Jan 29, 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.