Active NPI
Faustino Yanes
- Physical Therapist
- Homestead, FL
National Provider Identifier
1417817628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 44013
- Practice address
- 30342 Old Dixie Hwy
Homestead, FL 33033-3215 - Phone
- (305) 246-3828
- Fax
- (305) 246-3829
- NPI assigned
- Nov 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 44013 | FL | Primary |
Addresses
Primary practice location
30342 Old Dixie Hwy
Homestead, FL 33033-3215
Mailing address
30315 SW 158TH CT
Homestead, FL 33033-3443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44013 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1417817628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30315 SW 158TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30342 OLD DIXIE HWY",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333215",
"telephone_number": "305-246-3828",
"fax_number": "305-246-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANES",
"first_name": "FAUSTINO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "44013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.