Individual provider Active NPI

Faisal Alejandro Quintar, RPT

  • Physical Therapist
  • Doral, FL
National Provider Identifier
1770041105
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34365 Issued in FL
Practice address
10305 NW 41St St Ste 115
Doral, FL 33178-2975
Phone
(305) 407-8844
Fax
(305) 407-8848
NPI assigned
Mar 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34365 FL Primary

Addresses

Primary practice location

10305 NW 41St St Ste 115
Doral, FL 33178-2975

Mailing address

10152 Costa del Sol Blvd
Doral, FL 33178-2354
Phone (786) 370-2476

Other identifiers 1

IdentifierTypeStateIssuer
102229100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124000322 FL Practitioner - Physical Therapist in Private Practice 6305279571 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalicare Wellness Center LLCGroup PAC ID 2567979941, 3 clinicians
Lucky Medical and Rehabilitation Center CorpGroup PAC ID 2466848569, 3 clinicians

Practice addresses (Care Compare)

10305 NW 41St St
Suite 115
Doral, FL 33178-2975
Phone (305) 407-8844

10700 Caribbean Blvd
Suite 402
Cutler Bay, FL 33189-1232
Phone (786) 805-2642

6001 W Flagler St
Suite 100
Miami, FL 33144-3212
Phone (786) 953-4685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34365FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prompt Rehabilitation Group LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Planet Health Medical Center Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Lucky Medical & Rehabilitation Center Corp CurrentSince Oct 1, 2025 Accepting new patients

Locations

10305 NW 41st St
Ste 115
Doral, FL 33178
Phone (305) 407-8844

6001 W Flagler St
Ste 100
Miami, FL 33144
Phone (786) 953-4685

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1770041105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10152 COSTA DEL SOL BLVD",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782354",
            "telephone_number": "786-370-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 115",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782975",
            "telephone_number": "305-407-8844",
            "fax_number": "305-407-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTAR",
        "first_name": "FAISAL",
        "middle_name": "ALEJANDRO",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102229100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.