NPIMap

Organization Active NPI

Pinecrest Wellness-Downtown, LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1629859681
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PINECREST WELLNESS-DOWNTOWN, LLC
Practice address
398 NE 5TH St FL 9
Miami, FL 33132-2053
Phone
(786) 495-5858
NPI assigned
Oct 6, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Ronald Yacoub, PT, MSPTNPI 1174642110
Title
Managing Owner
Phone
(305) 722-0568

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 Primary

Addresses

Primary practice location

398 NE 5TH St FL 9
Miami, FL 33132-2053

Mailing address

PO Box 331942
Miami, FL 33233-1942

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1629859681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331942",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332331942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 NE 5TH ST FL 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322053",
            "telephone_number": "786-495-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST WELLNESS-DOWNTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "305-722-0568",
        "authorized_official_credential": "PT, MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "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 Oct 6, 2023; 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.