Organization Active NPI

Ultimate Rehab Inc

  • Physical Therapy Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1407905904
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ULTIMATE REHAB INC
Practice address
1770 NE Miami Gardens Dr
Miami Gardens, FL 33179-5301
Phone
(305) 944-8290
Fax
(305) 944-8061
NPI assigned
Jan 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Milagro Marisela Gonzalez, PT
Title
President
Phone
(305) 944-8290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1770 NE Miami Gardens Dr
Miami Gardens, FL 33179-5301

Mailing address

1770 NE Miami Gardens Dr
Miami Gardens, FL 33179-5301
Phone (305) 944-8290

National Provider Directory

National Provider Directory

Locations

18260 NE 19th Ave
Ste 102
North Miami Beach, FL 33162
Phone (305) 944-8290

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1407905904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NE MIAMI GARDENS DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-944-8290",
            "fax_number": "305-944-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 NE MIAMI GARDENS DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-944-8290",
            "fax_number": "305-944-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MILAGRO",
        "authorized_official_middle_name": "MARISELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-944-8290",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.