Organization Active NPI

Ideal Rehabilitation Center Inc

  • Physical Therapist
  • Coral Gables, FL
National Provider Identifier
1619268299
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IDEAL REHABILITATION CENTER INC
Practice address
3971 SW 8TH St
Ste 202
Coral Gables, FL 33134-2937
Phone
(305) 569-0266
Fax
(305) 569-0267
NPI assigned
Apr 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Kirenia Mesa, LMT
Title
President
Phone
(305) 569-0266

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X

Addresses

Primary practice location

3971 SW 8TH St
Ste 202
Coral Gables, FL 33134-2937

Mailing address

3971 SW 8TH St
Ste 202
Coral Gables, FL 33134-2937
Phone (305) 569-0266

National Provider Directory

National Provider Directory

Locations

3971 SW 8th St
Ste 202
Coral Gables, FL 33134
Phone (305) 569-0266

Practitioners & affiliated clinicians

Practitioners 1

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": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1619268299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3971 SW 8TH ST",
            "address_2": "STE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342937",
            "telephone_number": "305-569-0266",
            "fax_number": "305-569-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 SW 8TH ST",
            "address_2": "STE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342937",
            "telephone_number": "305-569-0266",
            "fax_number": "305-569-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "KIRENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-569-0266",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 15, 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.

Verify at the official NPI Registry.