NPIMap

Organization Active NPI

Polestar Pilates Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Coral Gables, FL
National Provider Identifier
1396780888
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
POLESTAR PILATES CENTER, LLC
Practice address
1500 Monza Ave
Suite 350
Coral Gables, FL 33146-3005
Phone
(305) 740-6001
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Mr. Brent Anderson, PHDNPI 1679681191
Title
Physical Therapist
Phone
(305) 740-6001

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1500 Monza Ave
Suite 350
Coral Gables, FL 33146-3005

Mailing address

1500 Monza Ave
Suite 350
Coral Gables, FL 33146-3005
Phone (305) 740-6001

National Provider Directory

National Provider Directory

Locations

7171 SW 62nd Ave
Ste 300
South Miami, FL 33143
Phone (305) 270-5305

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1396780888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MONZA AVE",
            "address_2": "SUITE 350",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463005",
            "telephone_number": "305-740-6001",
            "fax_number": "305-740-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MONZA AVE",
            "address_2": "SUITE 350",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463005",
            "telephone_number": "305-740-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLESTAR PILATES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-740-6001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.