Individual provider Active NPI

Lisbet Rodriguez Gomez, PTA

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1508378183
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
27996 Issued in FL
Practice address
3481 NW 34TH St
Miami, FL 33142-5746
Phone
(786) 553-3150
Fax
(305) 422-2422
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 27996 FL Primary

Addresses

Primary practice location

3481 NW 34TH St
Miami, FL 33142-5746

Mailing address

6863 SW 132ND Ave
Miami, FL 33183-2315
Phone (305) 798-8551

Other practice location 1

8491 NW 17th St
Doral, FL 33126-1025
Phone (305) 456-5542

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

LicenseStateTypeSpecialty
27996FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Happy Therapy Center LLC PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1508378183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832315",
            "telephone_number": "305-798-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 NW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425746",
            "telephone_number": "786-553-3150",
            "fax_number": "305-422-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8491 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331261025",
            "country_code": "US",
            "telephone_number": "305-456-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ GOMEZ",
        "first_name": "LISBET",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "27996",
            "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 Aug 3, 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.