NPIMap

Organization Active NPI

Advanced Therapy Inc.

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1386188274
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
SA12771 Issued in FL
Legal business name
ADVANCED THERAPY INC.
Practice address
6741 SW 24TH St
Suite 59
Miami, FL 33155-1762
Phone
(786) 622-7801
Fax
(786) 536-2764
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Authorized official

Name
Mrs. Astrid Villalobos, M,S
Title
President
Phone
(786) 622-7801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA 12771 FL
Rehabilitation Clinic/Center 261QR0400X SA12771 FL Primary

Addresses

Primary practice location

6741 SW 24TH St
Suite 59
Miami, FL 33155-1762

Mailing address

6741 SW 24TH St
Suite 59
Miami, FL 33155-1762
Phone (786) 622-7801

National Provider Directory

National Provider Directory

Locations

6741 SW 24th St
Ste 59
Miami, FL 33155
Phone (786) 622-7801

Practitioners & affiliated clinicians

Practitioners 4

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1386188274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SW 24TH ST",
            "address_2": "SUITE 59",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551762",
            "telephone_number": "786-622-7801",
            "fax_number": "786-536-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 SW 24TH ST",
            "address_2": "SUITE 59",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551762",
            "telephone_number": "786-622-7801",
            "fax_number": "786-536-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-622-7801",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M,S"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 12771",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "SA12771",
            "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 Jun 19, 2021; 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.