Individual provider Active NPI

Melissa Aimee Duran, DPT

  • Physical Therapist
  • Hialeah, FL
National Provider Identifier
1508557562
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40160 Issued in FL
Practice address
18030 NW 84TH Ave
Hialeah, FL 33015-2633
Phone
(786) 202-1491
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40160 FL Primary

Addresses

Primary practice location

18030 NW 84TH Ave
Hialeah, FL 33015-2633

Mailing address

18030 NW 84TH Ave
Hialeah, FL 33015-2633
Phone (786) 202-1491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220001063 FL Practitioner - Physical Therapist in Private Practice 2769832591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sos Physio LLCGroup PAC ID 0648579334, 7 clinicians

Practice addresses (Care Compare)

3575 NE 207 St
Aventura, FL 33180-3705
Phone (305) 306-8376

935 Arthur Godfrey Rd
Miami Beach, FL 33140-3306
Phone (305) 306-8376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40160FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Rehabilitation Center Current Accepting new patients
Sos Physio LLC Physical Therapist CurrentSince May 16, 2024 Accepting new patients
Atlantic Rehabilitation Center, Corp. CurrentSince Oct 8, 2023 Accepting new patients
Atlantic Rehabilitation Center CurrentSince Oct 8, 2023 Accepting new patients

Locations

16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400

11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611

11870 W State Road 84
Ste C3
Davie, FL 33325
Phone (954) 290-3154

3575 NE 207th St
Ste B17
Miami, FL 33180
Phone (305) 306-8376

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

Organizations & group practices 4

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1508557562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18030 NW 84TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152633",
            "telephone_number": "786-202-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18030 NW 84TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152633",
            "telephone_number": "786-202-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "MELISSA",
        "middle_name": "AIMEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.