Individual provider Active NPI

Carolyn Myrie, DPT

  • Physical Therapist
  • Aventura, FL
National Provider Identifier
1629860788
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43082 Issued in FL
Practice address
16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone
(305) 405-0400
Fax
(305) 405-0415
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43082 FL Primary

Addresses

Primary practice location

16249 Biscayne Blvd
Aventura, FL 33160-4300

Mailing address

16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 405-0400

Other practice location 1

17900 NW 5th St Ste 102
Pembroke Pines, FL 33029-2809
Phone (954) 290-3154

Other practice location 2

11870 W State Road 84 Ste C3
Davie, FL 33325-3811
Phone (954) 290-3154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250526000234 FL Practitioner - Physical Therapist in Private Practice 3274052006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Rehabilitation CenterGroup PAC ID 8527237247, 11 clinicians

Practice addresses (Care Compare)

16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 405-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Rehabilitation Center CurrentSince May 22, 2025 Accepting new patients
Atlantic Rehabilitation Center CurrentSince May 22, 2025 Accepting new patients
Club Elite, Corp. Physical Therapist Past Accepting new patients

Locations

16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400

11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611

11870 W State Road 84
Ste C3
Davie, FL 33325
Phone (954) 290-3154

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1629860788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16249 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-405-0400",
            "fax_number": "305-405-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16249 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-405-0400",
            "fax_number": "305-405-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17900 NW 5th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292809",
            "country_code": "US",
            "telephone_number": "954-290-3154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11870 W State Road 84 Ste C3",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333253811",
            "country_code": "US",
            "telephone_number": "954-290-3154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYRIE",
        "first_name": "CAROLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.