Organization Active NPI

CKC Rrehabilitation Corp

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1679788665
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 12700 Issued in FL
Legal business name
CKC RREHABILITATION CORP
Practice address
92 NE 139TH St
Miami, FL 33161-2756
Phone
(305) 793-2069
Fax
(305) 685-5911
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Rosaura Espitia-Munoz, PT, DPT, GCS.NPI 1457443541
Title
President
Phone
(305) 793-2069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 12700 FL Primary

Addresses

Primary practice location

92 NE 139TH St
Miami, FL 33161-2756

Mailing address

92 NE 139TH St
Miami, FL 33161-2756
Phone (305) 793-2069

Other identifiers 3

IdentifierTypeStateIssuer
PT12700OtherFLPHYSICAL THERAPY LICENSE
1457443541MedicaidFL
1457443541OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1679788665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NE 139TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612756",
            "telephone_number": "305-793-2069",
            "fax_number": "305-685-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NE 139TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612756",
            "telephone_number": "305-793-2069",
            "fax_number": "305-685-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKC RREHABILITATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ESPITIA-MUNOZ",
        "authorized_official_first_name": "ROSAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-793-2069",
        "authorized_official_credential": "PT, DPT, GCS."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 12700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT12700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457443541",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1457443541",
            "state": null
        }
    ],
    "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 15, 2007; 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.