Active NPI
Midaelle Phanor
- Physical Therapist
- Miami Lakes, FL
National Provider Identifier
1710810635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 15150 NW 79TH CT Ste 100
Miami Lakes, FL 33016-5870 - Phone
- (305) 821-0502
- NPI assigned
- Jun 8, 2026
- Last updated
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
15150 NW 79TH CT Ste 100
Miami Lakes, FL 33016-5870
Mailing address
582 E 85TH St
Brooklyn, NY 11236-3249
Phone (347) 469-4038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Health Services Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CORA Physical Therapy - Miami Lakes
- Rehabilitation Clinic/Center
- Miami Lakes, FL
- NPI 1194754747
-
dba CORA Physical Therapy-Stoneybrook
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1710810635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 E 85TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363249",
"telephone_number": "347-469-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15150 NW 79TH CT STE 100",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165870",
"telephone_number": "305-821-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHANOR",
"first_name": "MIDAELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.