Organization Active NPI

Big Leap Therapy Center

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1700400645
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Dec 20, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.