NPIMap

Organization Active NPI

Premier Therapy and Rehabilitation Group Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1730467515
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM27332 Issued in FL
Legal business name
PREMIER THERAPY AND REHABILITATION GROUP INC
Practice address
2100 W 76TH St
Suite 209
Hialeah, FL 33016-5539
Phone
(786) 691-3708
Fax
(305) 671-3306
NPI assigned
Jul 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Ingriss Travieso, LMT
Title
President
Phone
(786) 691-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM27332 FL Primary

Addresses

Primary practice location

2100 W 76TH St
Suite 209
Hialeah, FL 33016-5539

Mailing address

2100 W 76TH St
Suite 209
Hialeah, FL 33016-5539
Phone (786) 691-3708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1730467515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST",
            "address_2": "SUITE 209",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "786-691-3708",
            "fax_number": "305-671-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST",
            "address_2": "SUITE 209",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "786-691-3708",
            "fax_number": "305-671-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPY AND REHABILITATION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "TRAVIESO",
        "authorized_official_first_name": "INGRISS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-691-3708",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM27332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

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