Organization Active NPI

JD Therapy Center and Spa

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1649500232
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM24103 Issued in FL
Legal business name
JD THERAPY CENTER AND SPA
Practice address
3900 NW 79TH Ave Ste 429
Doral, FL 33166-6548
Phone
(305) 597-3696
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Yenniffer Cardin
Title
Owner
Phone
(305) 597-3696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM24103 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 429
Doral, FL 33166-6548

Mailing address

3900 NW 79TH Ave Ste 429
Doral, FL 33166-6548
Phone (305) 597-3696

National Provider Directory

National Provider Directory
Tax ID family
JD Therapy Center and Spa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1649500232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 429",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666548",
            "telephone_number": "305-597-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 429",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666548",
            "telephone_number": "305-597-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD THERAPY CENTER AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "CARDIN",
        "authorized_official_first_name": "YENNIFFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-597-3696"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM24103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.