Organization Active NPI

Avi PT Limited Liability Company

  • Physical Therapy Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1477227387
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AVI PT LIMITED LIABILITY COMPANY
Practice address
1624 Washington Ave
Miami Beach, FL 33139
Phone
(856) 816-0695
NPI assigned
Aug 4, 2021
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Avi Bagley, PTNPI 1972029361
Title
Owner, Physical Therapist
Phone
(856) 816-0695

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1624 Washington Ave
Miami Beach, FL 33139

Mailing address

924 SE 2ND St Apt 16
Fort Lauderdale, FL 33301-3617
Phone (856) 816-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209000220 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416346739 Receives reassigned benefits from 5 practitioners
Practice locations: Dania Beach, FL

National Provider Directory

National Provider Directory

Locations

2045 Biscayne Blvd
Miami, FL 33137
Phone (786) 271-7081

1624 Washington Ave
Miami Beach, FL 33139
Phone (856) 816-0695

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1477227387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SE 2ND ST APT 16",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013617",
            "telephone_number": "856-816-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 WASHINGTON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "856-816-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVI PT LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "856-816-0695",
        "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 Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.