Organization Active NPI

South Florida Rehabilitation & Wellness Center, Inc

  • Rehabilitation Chiropractor
  • Miami, FL
National Provider Identifier
1568559706
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SOUTH FLORIDA REHABILITATION & WELLNESS CENTER, INC
Practice address
7990 SW 117TH Ave
Suite 205
Miami, FL 33183-3847
Phone
(305) 271-7447
Fax
(305) 271-7448
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Aixa Goodrich, DCNPI 1306935119
Title
P
Phone
(305) 271-7447

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X FL Primary

Addresses

Primary practice location

7990 SW 117TH Ave
Suite 205
Miami, FL 33183-3847

Mailing address

7990 SW 117TH Ave
Suite 205
Miami, FL 33183-3847
Phone (305) 271-7447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001111 FL Part B Supplier - Clinic/Group Practice 9537148556 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

7990 SW 117th Ave
Ste 205
Miami, FL 33183
Phone (305) 271-7447

9570 SW 107th Ave
Ste 201
Miami, FL 33176
Phone (305) 219-3240

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1568559706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 SW 117TH AVE",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833847",
            "telephone_number": "305-271-7447",
            "fax_number": "305-271-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 SW 117TH AVE",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833847",
            "telephone_number": "305-271-7447",
            "fax_number": "305-271-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA REHABILITATION & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "AIXA",
        "authorized_official_title_or_position": "P",
        "authorized_official_telephone_number": "305-271-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": null,
            "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 Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.