Organization Active NPI

Max Physical Therapy Inc.

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1396460697
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MAX PHYSICAL THERAPY INC.
Practice address
2301 Coral Way Ste 815
Miami, FL 33145-3510
Phone
(305) 342-1265
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Michell PavoniNPI 1225333461
Title
Owner
Phone
(305) 432-1005

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2301 Coral Way Ste 815
Miami, FL 33145-3510

Mailing address

2301 Coral Way Ste 815
Miami, FL 33145-3510

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL maxphysical.com Direct

National Provider Directory

National Provider Directory

Locations

2301 Coral Way
Ste 815
Miami, FL 33145
Phone (305) 342-1265

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": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1396460697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CORAL WAY STE 815",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CORAL WAY STE 815",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453510",
            "telephone_number": "305-342-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "PAVONI",
        "authorized_official_first_name": "MICHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-432-1005"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maxphysical.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9210 W Calusa Club Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331861502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 27, 2023; 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.