Vengeance Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VENGEANCE PHYSICAL THERAPY LLC

Practice address

331 85TH St Apt 24
Miami Beach, FL 33141-4803

Phone

(786) 399-5515

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Nicholas Acosta, DPTNPI 1366190662

Title

Managing Member

Phone

(786) 399-5515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Nicholas Acosta, DPT

  • Physical Therapist
  • Sunrise, FL
  • NPI 1366190662
  Medicare reassignment NPD Authorized official
• Samuel Adolfo Rivera

  • Physical Therapist
  • Miramar, FL
  • NPI 1912637158
  Medicare reassignment NPD

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1760129753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 85TH ST APT 24",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414803",
            "telephone_number": "786-399-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 85TH ST APT 24",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414803",
            "telephone_number": "786-399-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENGEANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "786-399-5515",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karthik Vedantam, M.D.
• Ramin Allen Vejdani, D.O.
• Pallavi Velagapudi, DO
• Sasha Velasco, IDC
• Anabel Venereo Cantillo
• Gladys Versalles, CNA
• Versatile Therapy Services
• Very Best Medical Care LLC
• Melissa Laura Verzura, DO
• Veterans Wellness Network LLC

• Physical Therapy Clinic/Center in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.