Alexandre G Visvikis, B.S. EX PHYSIOLO

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

Practice address

12608 SW 88TH St
Miami, FL 33186-1867

Phone

(305) 412-4177

Fax

(305) 412-6301

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Children Therapy

  • Pediatric Physical Therapist
  • Miami, FL
  • NPI 1255300257
  NPD (past)
• Creative Children Therapy

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1538119565
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366655904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BAY RD",
            "address_2": "APT.546",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393252",
            "telephone_number": "786-587-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12608 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861867",
            "telephone_number": "305-412-4177",
            "fax_number": "305-412-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISVIKIS",
        "first_name": "ALEXANDRE",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "B.S. EX PHYSIOLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Pharmacy Corp
• Vista Rehab Center Corp
• Vista Rehab Center Corp
• Vistavita
• Visual Care and Supplies Inc
• Smitha Viswanath, APRN
• Vinoop Viswanathan, M.D.
• Vita Care Group, LLC
• Vita Medical Group Inc
• Vita RN, LLC

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Miami, FL
• Providers in Miami, FL by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.