Active NPI
Maxwellness Physical Therapy
- Physical Therapist
- Hialeah, FL
National Provider Identifier
1417350588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MAXWELLNESS PHYSICAL THERAPY
- Practice address
- 20025 NW 65TH CT
Hialeah, FL 33015-2138 - Phone
- (954) 558-3462
- NPI assigned
- Oct 3, 2014
- 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
- Mr. Jean Pascal Pradel, PT
- Title
- Director of Physcial Therapy
- Phone
- (954) 558-3462
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | FL | Primary | |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
20025 NW 65TH CT
Hialeah, FL 33015-2138
Mailing address
20025 NW 65TH CT
Hialeah, FL 33015-2138
Phone (954) 558-3462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890766800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Maxwellness Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Hialeah, FL
- NPI 1881083475
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hialeah, FL
- NPI 1609965227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412294400000",
"number": "1417350588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20025 NW 65TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152138",
"telephone_number": "954-558-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20025 NW 65TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152138",
"telephone_number": "954-558-3462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXWELLNESS PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A",
"authorized_official_last_name": "PRADEL",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "PASCAL",
"authorized_official_title_or_position": "DIRECTOR OF PHYSCIAL THERAPY",
"authorized_official_telephone_number": "954-558-3462",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890766800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.