Xtreme Rehab Services Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

LC10996 Issued in FL

Legal business name

XTREME REHAB SERVICES INC.

Practice address

8890 SW 24TH St Ste 213
Miami, FL 33165-2060

Phone

(305) 733-1921

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Barbaro Damian Pastrana

Title

President

Phone

(305) 733-1921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1700268596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 SW 24TH ST STE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652060",
            "telephone_number": "305-733-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 SW 24TH ST STE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652060",
            "telephone_number": "305-733-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "PASTRANA",
        "authorized_official_first_name": "BARBARO",
        "authorized_official_middle_name": "DAMIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-733-1921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "LC10996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, 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 Jun 29, 2015; 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.