Active NPI
Carlos Badilla
- Physical Therapist
- Miami, FL
National Provider Identifier
1558659748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1857
- Practice address
- 7959 NW 2ND St
Miami, FL 33126-8000 - Phone
- (305) 267-6060
- Fax
- (305) 267-6055
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 1857 | FL | Primary |
Addresses
Primary practice location
7959 NW 2ND St
Miami, FL 33126-8000
Mailing address
7959 NW 2ND St
Miami, FL 33126-8000
Phone (305) 267-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 1857 | Other | FL | PT 1857 |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 1857 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1558659748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7959 NW 2ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331268000",
"telephone_number": "305-267-6060",
"fax_number": "305-267-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7959 NW 2ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331268000",
"telephone_number": "305-267-6060",
"fax_number": "305-267-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADILLA",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 1857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT 1857",
"identifier": "PT 1857",
"state": "FL"
}
],
"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 Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.