Vivian Jimenez
Individual provider Active NPI Physical Therapy Assistant · Village of Palmetto Bay, FL
NPI 1790735249 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1790735249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA1727 (FL)
- Practice address
- 18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6416 - Phone
- (305) 251-7477
- Fax
- (305) 251-7475
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1727 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healis Rehabilitation Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1727 | FL | Yes |
Addresses
Primary practice location
18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6416
Mailing address
18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6416
Phone (305) 251-7477
Other providers in Village of Palmetto Bay, FL
- Healis Rehabilitation Center
- Henry M. Storper M.D.P.a.
- Patricia Cintron Hernandez
- Stephanie Lois Hume
- Peter Gerard James
- Stuart K Joseph
- JT &M Medicalservices Inc
- Shirely Katzman
- Linda Keller
- Brenda Kent
All providers in Village of Palmetto Bay, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.