Active NPI
Physiodynamics of Florida LLC
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1407619273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHYSIODYNAMICS OF FLORIDA LLC
- Practice address
- 17095 NW 11TH St
Pembroke Pines, FL 33028-2101 - Phone
- (954) 841-3012
- NPI assigned
- Feb 5, 2024
- 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
- Monica Jimenez
- Title
- Owner
- Phone
- (954) 841-3012
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
17095 NW 11TH St
Pembroke Pines, FL 33028-2101
Mailing address
2114 N Flamingo Rd # 2174
Pembroke Pines, FL 33028-3501
Phone (954) 841-3012
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Aventura, FL
- NPI 1255810537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1407619273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 N FLAMINGO RD # 2174",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330283501",
"telephone_number": "954-841-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17095 NW 11TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282101",
"telephone_number": "954-841-3012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIODYNAMICS OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-841-3012"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- Physician Family Pharmacy Corp (Physician Family Pharmacy Pembroke Pines)
- Physicians on Call I Corp
- Physicians on Call, LLC
- Physicians Partnership Alliance, LLC
- Physio Active Therapy & Wellness Corp (Physio Healing Therapy)
- Angely Ann Piazza-Rodriguez, PHD
- Robert P Picariello, LMT
- Ramon Pichardo Diaz, RBT
- Alexa H Pichardo
- Berlinda Pickens, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.