Organization Active NPI

Pro Fitness and Rehab

  • Physical Therapy Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1558412650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT0006756 Issued in FL
Legal business name
PRO FITNESS AND REHAB
Practice address
300 Sevilla Ave
Suite# 304
Coral Gables, FL 33134-6636
Phone
(305) 968-1849
Fax
(786) 242-8269
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Javier Martin Pro, PTNPI 1649326794
Title
Administrator
Phone
(305) 968-1849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT0006756 FL Primary

Addresses

Primary practice location

300 Sevilla Ave
Suite# 304
Coral Gables, FL 33134-6636

Mailing address

300 Sevilla Ave
Suite# 304
Coral Gables, FL 33134-6636
Phone (305) 968-1849

National Provider Directory

National Provider Directory

Locations

300 Sevilla Ave
Ste 304
Coral Gables, FL 33134
Phone (305) 445-4224

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558412650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SEVILLA AVE",
            "address_2": "SUITE# 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346636",
            "telephone_number": "305-968-1849",
            "fax_number": "786-242-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SEVILLA AVE",
            "address_2": "SUITE# 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346636",
            "telephone_number": "305-968-1849",
            "fax_number": "786-242-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO FITNESS AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-968-1849",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT0006756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.