Organization Active NPI

Rehab Lab Miami LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1790300895
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB LAB MIAMI LLC
Practice address
8790 SW 132ND St
Miami, FL 33176-5932
Phone
(305) 338-6821
NPI assigned
Jun 15, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Guillermo De Novi, DPTNPI 1811329311
Title
President
Phone
(786) 478-6652

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 NU Primary

Addresses

Primary practice location

8790 SW 132ND St
Miami, FL 33176-5932

Mailing address

8790 SW 132ND St
Miami, FL 33176-5932
Phone (786) 478-6652

National Provider Directory

National Provider Directory

Locations

8790 SW 132nd St
Miami, FL 33176
Phone (305) 338-6821

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1790300895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 SW 132ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765932",
            "telephone_number": "786-478-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 SW 132ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765932",
            "telephone_number": "305-338-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB LAB MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "DE NOVI",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-478-6652",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.