Active NPI
Vinod Thakar, R.P.T.
- Physical Therapist
- Cooper City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3616
- Practice address
- 11302 SW 55TH St
Cooper City, FL 33330-4503 - Phone
- (954) 680-9383
- Fax
- (954) 963-7169
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3616 | FL | Primary |
Addresses
Primary practice location
11302 SW 55TH St
Cooper City, FL 33330-4503
Mailing address
11302 SW 55TH St
Cooper City, FL 33330-4503
Phone (954) 680-9383
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259342 | Other | FL | AVMED |
| Y4215 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Light Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
345 E Commercial Blvd
Fort Lauderdale, FL 33334-2411
Phone (786) 515-4397
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3616 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Sonrisa del Abuelo LLC | Current | Accepting new patients | |
| ER & DC McPherson Holdings LLC | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Now Holdings, LLC | Physical Therapist | Past | Accepting new patients |
| United Outreach Inc | Physical Therapist | Past | Accepting new patients |
| Broward Neurosurgeons LLC | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
345 E Commercial Blvd
Oakland Park, FL 33334
Phone (786) 515-4397
6957 W Broward Blvd
Plantation, FL 33317
Phone (954) 261-3280
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Physical Therapist
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- NPI 1114542032
-
- Neurological Surgery Physician
- Plantation, FL
- NPI 1366499618
-
- Physical Therapist
- Coral Springs, FL
- NPI 1942319884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1659417376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11302 SW 55TH ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333304503",
"telephone_number": "954-680-9383",
"fax_number": "954-963-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11302 SW 55TH ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333304503",
"telephone_number": "954-680-9383",
"fax_number": "954-963-7169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKAR",
"first_name": "VINOD",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT3616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "259342",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y4215",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIGHT",
"last_name": "REHAB",
"credential": "INC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.