Active NPI
Mission PT, LLC
- Physical Therapy Clinic/Center
- Miami, FL
National Provider Identifier
1790376796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Miami | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapy Assistant
- Miami, FL
- NPI 1245520402
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.