Organization Active NPI

Minsu's Healing Oasis LLC

Doing business as minsu healing oasis

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1376036046
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT19563 Issued in FL
Legal business name
MINSU'S HEALING OASIS LLC
Doing business as
minsu healing oasis
Practice address
12595 SW 137TH Ave Ste 310
Miami, FL 33186-4222
Phone
(305) 389-1768
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Dr. Minsu Blanca, DPTNPI 1184895914
Title
Ceo
Phone
(305) 389-1768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT19563 FL Primary

Addresses

Primary practice location

12595 SW 137TH Ave Ste 310
Miami, FL 33186-4222

Mailing address

12595 SW 137TH Ave Ste 310
Miami, FL 33186-4222
Phone (305) 389-1768

Other names 1

  • minsu healing oasis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190718001686 FL Part B Supplier - Clinic/Group Practice 2769717321 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12595 SW 137th Ave
Ste 310
Miami, FL 33186
Phone (305) 389-1768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1376036046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864222",
            "telephone_number": "305-389-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864222",
            "telephone_number": "305-389-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINSU'S HEALING OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "BLANCA",
        "authorized_official_first_name": "MINSU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-389-1768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT19563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "minsu healing oasis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.