Organization Active NPI

Vitaly Medical Center LLC

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1659134336
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VITALY MEDICAL CENTER LLC
Practice address
7811 SW 24TH St Ste 120
Miami, FL 33155-6540
Phone
(786) 916-4310
Fax
(786) 916-4311
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Tania Robaina
Title
Owner
Phone
(786) 694-0650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

7811 SW 24TH St Ste 120
Miami, FL 33155-6540

Mailing address

7811 SW 24TH St Ste 120
Miami, FL 33155-6540
Phone (305) 916-4310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909001132 FL Part B Supplier - Clinic/Group Practice 0749782621 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

7811 SW 24th St
Ste 120
Miami, FL 33155
Phone (305) 267-3950

Practitioners & affiliated clinicians

Practitioners 3

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": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1659134336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 SW 24TH ST STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "305-916-4310",
            "fax_number": "305-916-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 SW 24TH ST STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "786-916-4310",
            "fax_number": "786-916-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-694-0650"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.