Organization Active NPI

Physical Therapeutic Services Corp

  • Physical Therapy Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1750675922
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPEUTIC SERVICES CORP
Practice address
5881 NW 151St St
Suite 127
Miami Lakes, FL 33014-2450
Phone
(305) 338-2689
Fax
(305) 675-2668
NPI assigned
Jun 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Ana I Pernett, PTNPI 1750570818
Title
President
Phone
30533826889

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 Primary

Addresses

Primary practice location

5881 NW 151St St
Suite 127
Miami Lakes, FL 33014-2450

Mailing address

5881 NW 151St St
Suite 127
Miami Lakes, FL 33014-2450
Phone (305) 338-2689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110825000184 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981874153 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapeutic Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1140 W 50th St
Ste 307
Hialeah, FL 33012
Phone (305) 827-0208

5881 NW 151st St
Ste 127
Miami Lakes, FL 33014
Phone (305) 827-0208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1750675922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST",
            "address_2": "SUITE 127",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142450",
            "telephone_number": "305-338-2689",
            "fax_number": "305-675-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST",
            "address_2": "SUITE 127",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142450",
            "telephone_number": "305-338-2689",
            "fax_number": "305-675-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPEUTIC SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "PERNETT",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "30533826889",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 6, 2011; 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.