Super Class Rehab Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUPER CLASS REHAB CENTER INC

Doing business as

Super Class and Rehab Center Inc

Practice address

2711 SW 137TH Ave Ste 94B
Miami, FL 33175-6361

Phone

(786) 454-6038

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Mariolys Goenaga, MESSAGE THERAPISTNPI 1003588625

Title

Owner

Phone

(786) 454-6038

Specialties & licenses 1

Addresses

Other names 1

• SUPER CLASS AND REHAB CENTER INC Doing business as

Locations

Practitioners 1

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

• Mariolys Goenaga

  • Physical Therapist
  • Miami, FL
  • NPI 1003588625
  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1386306579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE STE 94B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE STE 94B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756361",
            "telephone_number": "786-454-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CLASS REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "GOENAGA",
        "authorized_official_first_name": "MARIOLYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-454-6038",
        "authorized_official_credential": "MESSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER CLASS AND REHAB CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.