Active NPI
CDL Rehabilitation Service LLC
- Physical Therapy Clinic/Center
- Doral, FL
National Provider Identifier
1699481804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CDL REHABILITATION SERVICE LLC
- Practice address
- 3901 NW 79TH Ave Ste 223
Doral, FL 33166-6554 - Phone
- (305) 456-2406
- Fax
- (305) 456-2521
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos D Lopez
- Title
- Authorized Official
- Phone
- (305) 456-2406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
3901 NW 79TH Ave Ste 223
Doral, FL 33166-6554
Mailing address
3901 NW 79TH Ave Ste 223
Doral, FL 33166-6554
Phone (305) 456-2406
National Provider Directory
National Provider DirectoryLocations
3901 NW 79th Ave
Ste 223
Doral, FL 33166
Phone (305) 456-2406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1699481804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 NW 79TH AVE STE 223",
"city": "DORAL",
"state": "FL",
"postal_code": "331666554",
"telephone_number": "305-456-2406",
"fax_number": "305-456-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 NW 79TH AVE STE 223",
"city": "DORAL",
"state": "FL",
"postal_code": "331666554",
"telephone_number": "305-456-2406",
"fax_number": "305-456-2521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CDL REHABILITATION SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "305-456-2406",
"authorized_official_name_prefix": "Mr."
},
"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 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.