Organization Active NPI

Mission PT, LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1790376796
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MISSION PT, LLC
Practice address
7700 N Kendall Dr Ste 507
Miami, FL 33156-7566
Phone
(786) 517-7998
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Daniel Villalta, MPT
Title
Physical Therapist
Phone
(786) 517-7998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7700 N Kendall Dr Ste 507
Miami, FL 33156-7566

Mailing address

9200 SW 153Rd Psge
Miami, FL 33196-2842
Phone (786) 517-7998

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Miami Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

7700 N Kendall Dr
Ste 507
Miami, FL 33156
Phone (305) 926-6588

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": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1790376796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SW 153RD PSGE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962842",
            "telephone_number": "786-517-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR STE 507",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567566",
            "telephone_number": "786-517-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "VILLALTA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "786-517-7998",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Kareo",
            "address_1": "7700 N Kendall Dr Ste 507",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331567566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 16, 2021; 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.