Spartakus Center Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPARTAKUS CENTER CORP

Practice address

5190 NW 167TH St
Suite 108
Miami Gardens, FL 33014-6328

Phone

(305) 625-7719

Fax

(305) 625-7720

NPI assigned

Sep 28, 2011

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omar Nodarse, LMTNPI 1386949451

Title

President

Phone

(305) 625-7719

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Nodarse, MA

  • Massage Therapist
  • Miami Gardens, FL
  • NPI 1386949451
  Authorized official Same address or phone

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1720362593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE 108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-625-7719",
            "fax_number": "305-625-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE 108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-625-7719",
            "fax_number": "305-625-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAKUS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "NODARSE",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-625-7719",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.