Active NPI
Yanny Mursuli
- Physical Therapy Clinic/Center
- Doral, FL
National Provider Identifier
1689217853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Practice address
- 3785 NW 82ND Ave Ste 408
Doral, FL 33166-6632 - Phone
- (786) 580-4784
- Fax
- (305) 675-9244
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
3785 NW 82ND Ave Ste 408
Doral, FL 33166-6632
Mailing address
PO Box 440561
Miami, FL 33144-0561
Other practice location 1
3800 Colonial Blvd
Fort Myers, FL 33966-1075
Phone (239) 297-9066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxvil Medical Center Inc | Current | Accepting new patients | |
| Luxvil Medical Center Inc | Physical Therapy | Current | Accepting new patients |
Locations
3785 NW 82nd Ave
Ste 408
Doral, FL 33166
Phone (786) 580-4754
Organizations & group practices 2
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.
-
- Clinic/Center
- Doral, FL
- NPI 1912528563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1689217853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440561",
"city": "MIAMI",
"state": "FL",
"postal_code": "331440561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3785 NW 82ND AVE STE 408",
"city": "DORAL",
"state": "FL",
"postal_code": "331666632",
"telephone_number": "786-580-4784",
"fax_number": "305-675-9244"
}
],
"practiceLocations": [
{
"address_1": "3800 Colonial Blvd",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661075",
"country_code": "US",
"telephone_number": "239-297-9066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURSULI",
"first_name": "YANNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"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 May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.