Specific Rehab Services, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPECIFIC REHAB SERVICES, INC.

Practice address

1435 W 49TH PL Ste 301
Hialeah, FL 33012-3147

Phone

(305) 392-1216

Fax

(305) 513-5130

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Candelaria Paternina, PHYSICAL THERAPY

Title

President

Phone

(786) 506-6760

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Capdevila, MPT

  • Physical Therapist
  • Hialeah, FL
  • NPI 1821235854
  Medicare reassignment NPD
• Jorge E Quinzada

  • Occupational Therapist
  • Miami, Gardens,FL, FL
  • NPI 1770074627
  Medicare reassignment NPD
• Hugo D Goldstraj, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1275588485
  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1689121089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "305-392-1216",
            "fax_number": "305-513-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "305-392-1216",
            "fax_number": "305-513-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "PATERNINA",
        "authorized_official_first_name": "CANDELARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-506-6760",
        "authorized_official_credential": "PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA EXEMPTION",
            "identifier": "HCC4406",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.