Organization Active NPI

Orthopedic Rehabilitation Center, LLC

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1669627709
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME98523 Issued in FL
Legal business name
ORTHOPEDIC REHABILITATION CENTER, LLC
Practice address
2601 SW 37TH Av #607
Miami, FL 33133
Phone
(305) 445-5056
Fax
(305) 445-2023
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Gregory Nicholas Mazzotla, D.C.
Title
Business Owner/Chiropractor
Phone
(305) 445-5056

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8707 FL
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X ME98523 FL Primary

Addresses

Primary practice location

2601 SW 37TH Av #607
Miami, FL 33133

Mailing address

2601 SW 37TH Av #607
Miami, FL 33133
Phone (305) 445-5056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1669627709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AV #607",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-445-5056",
            "fax_number": "305-445-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AV #607",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-445-5056",
            "fax_number": "305-445-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MAZZOTLA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "BUSINESS OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "305-445-5056",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8707",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME98523",
            "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 Nov 18, 2008; 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.