Michael Efrem Gubieda, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

23459 Issued in FL

Practice address

11870 W State Road 84
Davie, FL 33325-3816

Phone

(954) 474-3611

NPI assigned

Jul 31, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1639425481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10941 NW 59TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253816",
            "telephone_number": "954-474-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBIEDA",
        "first_name": "MICHAEL",
        "middle_name": "EFREM",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "23459",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "23459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growability Group
• Penelope Grullon
• Keren Yunger Gruzin, RMFTI
• Jeffrey Peter Gualtieri
• Amanda Isabel Guardia, DPT, PT
• Gud Karma Counseling & Wellness Center LLC
• Julio Guerra Guzman
• Eloisa De la Caridada Guerra Torres
• Anelis Guerra
• Jeymarie Guerra

• Physical Therapy Assistant in Davie, FL
• Providers in Davie, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.