Active NPI
Big Leap Therapy Center
- Clinic/Center
- Doral, FL
National Provider Identifier
1700400645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BIG LEAP THERAPY CENTER
- Practice address
- 8350 NW 52ND Ter Ste 301
Doral, FL 33166-7708 - Phone
- (954) 610-5070
- NPI assigned
- Jun 6, 2020
- 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
- Karla Medranda
- Title
- President
- Phone
- (305) 798-0214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
8350 NW 52ND Ter Ste 301
Doral, FL 33166-7708
Mailing address
12485 SW 137TH Ave Ste 211
Miami, FL 33186-4217
National Provider Directory
National Provider DirectoryLocations
12485 SW 137th Ave
Ste 211
Miami, FL 33186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1700400645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12485 SW 137TH AVE STE 211",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 NW 52ND TER STE 301",
"city": "DORAL",
"state": "FL",
"postal_code": "331667708",
"telephone_number": "954-610-5070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG LEAP THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-06",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "MEDRANDA",
"authorized_official_first_name": "KARLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-798-0214"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"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 Dec 20, 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.