Individual provider Active NPI

Alexander Grandal

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1669010849
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35328 Issued in FL
Practice address
2150 S Dixie Hwy
Miami, FL 33133-2462
Phone
(305) 860-6383
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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 PT35328 FL Primary

Addresses

Primary practice location

2150 S Dixie Hwy
Miami, FL 33133-2462

Mailing address

5730 SW 94TH CT
Miami, FL 33173-1515
Phone (305) 491-2752

Other practice location 1

9733 NW 41st St
Doral, FL 33178-2944
Phone (305) 597-5209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507003115 FL Practitioner - Physical Therapist in Private Practice 4587005608 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Nov 10, 2024 Accepting new patients
Rehabclinics Pta, Inc. Current Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Nov 10, 2024 Accepting new patients

Locations

9733 NW 41st St
Doral, FL 33178
Phone (305) 597-5209

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

2150 S Dixie Hwy
Ste 100
Miami, FL 33133
Phone (305) 444-0909

13645 Biscayne Blvd
North Miami Beach, FL 33181
Phone (305) 949-2700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1669010849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 SW 94TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731515",
            "telephone_number": "305-491-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332462",
            "telephone_number": "305-860-6383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9733 NW 41st St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782944",
            "country_code": "US",
            "telephone_number": "305-597-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDAL",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35328",
            "primary": true
        }
    ],
    "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 Dec 18, 2019; 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.