Active NPI
Mario Lubian
- Physical Therapist
- Doral, FL
National Provider Identifier
1669289237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41004
- Practice address
- 2686 NW 97TH Ave
Doral, FL 33172-1400 - Phone
- (786) 542-5867
- Fax
- (844) 683-2343
- NPI assigned
- Dec 16, 2024
- Sex
- Male
- Sole proprietor
- No
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 | PT41004 | FL | Primary |
Addresses
Primary practice location
2686 NW 97TH Ave
Doral, FL 33172-1400
Mailing address
2686 NW 97TH Ave
Doral, FL 33172-1400
Phone (786) 542-5867
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 SW 56TH St
Suite 14
Miami, FL 33165-7161
Phone (786) 536-7598
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT41004 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinez Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2686 NW 97th Ave
Doral, FL 33172
Phone (786) 542-5867
10000 SW 56th St
Ste 26
Miami, FL 33165
Phone (786) 536-7598
Organizations & group practices 1
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.
-
- Physical Therapist
- Doral, FL
- NPI 1366042673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1669289237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2686 NW 97TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331721400",
"telephone_number": "786-542-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2686 NW 97TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331721400",
"telephone_number": "786-542-5867",
"fax_number": "844-683-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBIAN",
"first_name": "MARIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41004",
"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 Dec 16, 2024; 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.