Organization Active NPI

Renaissance Rehab Center Inc.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1528407400
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA71838 Issued in FL
Legal business name
RENAISSANCE REHAB CENTER INC.
Practice address
8660 W Flagler St
203
Miami, FL 33144-2031
Phone
(305) 549-8517
Fax
(305) 549-8516
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Ms. Ilena Castro, PT
Title
President
Phone
(305) 549-8517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA71838 FL Primary

Addresses

Primary practice location

8660 W Flagler St
203
Miami, FL 33144-2031

Mailing address

8660 W Flagler St
203
Miami, FL 33144-2031
Phone (305) 549-8517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1528407400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST",
            "address_2": "203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442031",
            "telephone_number": "305-549-8517",
            "fax_number": "305-549-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST",
            "address_2": "203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442031",
            "telephone_number": "305-549-8517",
            "fax_number": "305-549-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ILENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-549-8517",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA71838",
            "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 Jun 24, 2013; 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.