Organization Active NPI

Physical and Professional Therapy Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1760810980
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC10793 Issued in FL
Legal business name
PHYSICAL AND PROFESSIONAL THERAPY INC
Practice address
3750 W 16TH Ave
Suite 248
Hialeah, FL 33012-4654
Phone
(305) 819-6273
Fax
(305) 819-6274
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Juan Carlos Corea Vila
Title
President
Phone
(305) 819-6273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC10793 FL Primary

Addresses

Primary practice location

3750 W 16TH Ave
Suite 248
Hialeah, FL 33012-4654

Mailing address

3750 W 16TH Ave
Suite 248
Hialeah, FL 33012-4654
Phone (305) 819-6273

National Provider Directory

National Provider Directory

Locations

3750 W 16th Ave
Ste 248
Hialeah, FL 33012
Phone (305) 819-6273

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1760810980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE 248",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-819-6273",
            "fax_number": "305-819-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE 248",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-819-6273",
            "fax_number": "305-819-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL AND PROFESSIONAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "COREA VILA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-819-6273"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC10793",
            "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 Oct 25, 2013; 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.