NPIMap

Organization Active NPI

Centerline Physical Therapy

  • Physical Therapy Clinic/Center
  • North Miami, FL
National Provider Identifier
1740517739
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 17945 Issued in FL
Legal business name
CENTERLINE PHYSICAL THERAPY
Practice address
2108 NE 123Rd St
North Miami, FL 33181-2902
Phone
(305) 967-8976
Fax
(305) 967-8863
NPI assigned
Nov 11, 2009
Last updated
Nov 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Mr. Craig Cohen, MPT, ATCNPI 1538280391
Title
Physical Therapist/Owner
Phone
(305) 967-8976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 17945 FL Primary

Addresses

Primary practice location

2108 NE 123Rd St
North Miami, FL 33181-2902

Mailing address

2108 NE 123Rd St
North Miami, FL 33181-2902
Phone (305) 967-8976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000914 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406037134 Receives reassigned benefits from 16 practitioners
Practice locations: Hallandale Beach, FL; North Miami, FL

National Provider Directory

National Provider Directory

Locations

2108 N E 123Rd St
North Miami, FL 33181
Phone (305) 967-8976

2108 NE 123rd St
North Miami, FL 33181
Phone (305) 343-6311

2146 NE 123rd St
North Miami, FL 33181
Phone (305) 967-8976

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1740517739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "305-967-8976",
            "fax_number": "305-967-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "305-967-8976",
            "fax_number": "305-967-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "305-967-8976",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 17945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.