Active NPI
Big Bear Therapy Institute
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1407344211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BIG BEAR THERAPY INSTITUTE
- Practice address
- 9035 Sunset Dr Ste 102
Miami, FL 33173-3441 - Phone
- (786) 641-6858
- NPI assigned
- Apr 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Yance
- Title
- Director
- Phone
- (786) 602-0904
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
9035 Sunset Dr Ste 102
Miami, FL 33173-3441
Mailing address
9035 Sunset Dr Ste 102
Miami, FL 33173-3441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524700800000",
"number": "1407344211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9035 SUNSET DR STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9035 SUNSET DR STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733441",
"telephone_number": "786-641-6858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG BEAR THERAPY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-26",
"last_updated": "2018-04-26",
"status": "A",
"authorized_official_last_name": "YANCE",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "786-602-0904"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"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 Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.