Kendall Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR5 Issued in FL

Legal business name

KENDALL PROSTHETICS & ORTHOTICS, INC.

Doing business as

Integrative Rehabilitation Medical, LLC

Practice address

14221 SW 120TH St Ste 110
Miami, FL 33186-7291

Phone

(305) 540-3220

Fax

(645) 231-2080

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Rafael Maksumov

Title

President

Phone

(917) 502-5273

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• INTEGRATIVE REHABILITATION MEDICAL, LLC Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1578699393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867291",
            "telephone_number": "305-540-3220",
            "fax_number": "645-231-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867291",
            "telephone_number": "305-540-3220",
            "fax_number": "645-231-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "MAKSUMOV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-502-5273"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "M2289",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED HEALTH PLANS",
            "identifier": "226307",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951163600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT. OF LABOR OWCP",
            "identifier": "169843900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATIVE REHABILITATION MEDICAL, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendall Oral Surgery
• Kendall Pain Center LLC
• Kendall Pain Management Center Corp
• Kendall Pediatrics
• Kendall Physical Therapy & Hand Rehabilitation Center LLC (Hands Rehab)
• Kendall Psychiatric Services LLC
• Kendall Psychiatry LLC
• Kendall Regional Hospital
• Kendall Regional Hospital
• Kendall Regional Medical Services

• Prosthetic/Orthotic Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.