Organization Active NPI

CDL Rehabilitation Service LLC

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1699481804
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on May 8, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.