Organization Active NPI

American Group Rehabilitation Inc.

  • Physical Therapist
  • Doral, FL
National Provider Identifier
1437489481
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16139 Issued in FL
Legal business name
AMERICAN GROUP REHABILITATION INC.
Practice address
10305 NW 41St St Ste 107
Doral, FL 33178-2975
Phone
(305) 418-2385
Fax
(305) 418-1888
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Yusniel Marin Sr., LMTNPI 1548627003
Title
President
Phone
(305) 418-2385

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT16139 FL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X PTA25419 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA46357 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pulmonary Rehabilitation Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P1005X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

10305 NW 41St St Ste 107
Doral, FL 33178-2975

Mailing address

10305 NW 41St St Ste 107
Doral, FL 33178-2975
Phone (305) 418-2385

Other practice location 1

8249 NW 36th St
suite 109
Doral, FL 33166-6673
Phone (305) 418-2385

Other identifiers 2

IdentifierTypeStateIssuer
013892400MedicaidFL
014893800MedicaidFL

National Provider Directory

National Provider Directory

Locations

8249 NW 36th St
Ste 109
Doral, FL 33166
Phone (305) 418-2385

8181 NW 36th St
Ste 31
Doral, FL 33166
Phone (305) 418-2385

10305 NW 41st St
Ste 107
Doral, FL 33178
Phone (305) 381-0331

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1437489481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 107",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782975",
            "telephone_number": "305-418-2385",
            "fax_number": "305-418-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 107",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782975",
            "telephone_number": "305-418-2385",
            "fax_number": "305-418-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8249 NW 36th St",
            "address_2": "suite 109",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666673",
            "country_code": "US",
            "telephone_number": "305-418-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN GROUP REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "YUSNIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-418-2385",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16139",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25419",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA46357",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013892400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014893800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.