New Form Physical Therapy and Wellness Center P.a.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23183 Issued in FL

Legal business name

NEW FORM PHYSICAL THERAPY AND WELLNESS CENTER P.A.

Practice address

17971 Biscayne Blvd Ste 104
Aventura, FL 33160-2531

Phone

(305) 999-1844

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Simone Salles, PT, MSPT, DPTNPI 1134395619

Title

Physical Therapist

Phone

(305) 766-4181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Simone Salles

  • Physical Therapist
  • Aventura, FL
  • NPI 1134395619
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1487028874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800625",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "332800625",
            "telephone_number": "305-766-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD STE 104",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602531",
            "telephone_number": "305-999-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FORM PHYSICAL THERAPY AND WELLNESS CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "SALLES",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-766-4181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MSPT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Nessim, RD
• Mark Steven Nestor, M.D.
• Samuel Adam Neuhut, M.D.
• Ashley Lauren Neuman, M.S. CCC-SLP
• Neurosleep Consultants PA
• New Generation MD LLC
• Newsha Dermatology Plus Cosmetics Inc.
• Nexus Medical Center of Aventura, LLC
• Jason Nguyen
• Justin Nguyen

• Physical Therapist in Aventura, FL
• Providers in Aventura, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.