Organization Active NPI

Ortho Kickz of Florida

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1477951697
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHO KICKZ OF FLORIDA
Practice address
1164 NW 75TH St
Miami, FL 33150-3340
Phone
(305) 244-3239
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Sharondra Hudson
Title
Owner
Phone
(305) 244-3239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1164 NW 75TH St
Miami, FL 33150-3340

Mailing address

1164 NW 75TH St
Miami, FL 33150-3340
Phone (305) 244-3239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1477951697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 NW 75TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331503340",
            "telephone_number": "305-244-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 NW 75TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331503340",
            "telephone_number": "305-244-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO KICKZ OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SHARONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-244-3239"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.