Active NPI
Clifford Bernard Jereza, PT
- Physical Therapist
- Miami Beach, FL
National Provider Identifier
1730488578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1345 Lincoln Rd
Apt 602
Miami Beach, FL 33139-2210 - Phone
- (305) 716-0976
- NPI assigned
- Mar 18, 2011
- Last updated
- Mar 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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
1345 Lincoln Rd
Apt 602
Miami Beach, FL 33139-2210
Mailing address
1345 Lincoln Rd
Apt 602
Miami Beach, FL 33139-2210
Phone (305) 716-0976
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1730488578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 LINCOLN RD",
"address_2": "APT 602",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392210",
"telephone_number": "305-716-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 LINCOLN RD",
"address_2": "APT 602",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392210",
"telephone_number": "305-716-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEREZA",
"first_name": "CLIFFORD",
"middle_name": "BERNARD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
- Jeffrey D. Kamlet M.D.
- Jeffrey D. Kamlet MD, LLC
- Jennifer Murdock MD, PLLC
- Jennifer Rodriguez-Ferrer MD PA
- Francia Jerez I
- Jewish Community Services of South Florida, Inc. (Miami Beach Day Care for the Frail Elderly)
- Jewish Home Care Services of Miami-Dade, LLC
- Chunsu Jiang, M.D
- Pedro Luis Jimenez Garcia, MD
- Jennifer Jimenez Madrigal, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.