Organization Active NPI

Raw Strength PT LLC

Doing business as Zidell Physical Therapy

  • Physical Therapist
  • Miami Beach, FL
National Provider Identifier
1396458600
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RAW STRENGTH PT LLC
Doing business as
Zidell Physical Therapy
Practice address
300 71St St Ste 605
Miami Beach, FL 33141-3089
Phone
(305) 505-2565
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Shmuel Zev Zidell, PT, DPT, CSCSNPI 1316658263
Title
Owner
Phone
(305) 505-2565

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

300 71St St Ste 605
Miami Beach, FL 33141-3089

Mailing address

300 71St St Ste 605
Miami Beach, FL 33141-3089

Other practice location 1

4302 Alton Rd Ste 1010
Miami Beach, FL 33140-2890
Phone (305) 505-2565

Other names 1

  • Zidell Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230314000644 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527432608 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

300 71st St
Ste 605
Miami Beach, FL 33141
Phone (305) 505-2565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1396458600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 71ST ST STE 605",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 71ST ST STE 605",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413089",
            "telephone_number": "305-505-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4302 Alton Rd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402890",
            "country_code": "US",
            "telephone_number": "305-505-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAW STRENGTH PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "ZIDELL",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_middle_name": "ZEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-505-2565",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zidell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.