Active NPI
Charles Quainoo
- Physical Therapist
- Miami, FL
National Provider Identifier
1801655840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTT41454
- Practice address
- 9415 Sunset Dr Ste 111
Miami, FL 33173-5492 - Phone
- (786) 507-8278
- NPI assigned
- Mar 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTT41454 | FL | Primary |
Addresses
Primary practice location
9415 Sunset Dr Ste 111
Miami, FL 33173-5492
Mailing address
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTT41454 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies Kendall LLC | Physical Therapist | Current | Accepting new patients |
Locations
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
9415 Sunset Dr
Ste 111
Miami, FL 33173
Phone (786) 507-8278
Organizations & group practices 1
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.
-
- Physical Therapist
- Miami, FL
- NPI 1922350289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1801655840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21756 STATE ROAD 54 STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 SUNSET DR STE 111",
"city": "MIAMI",
"state": "FL",
"postal_code": "331735492",
"telephone_number": "786-507-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAINOO",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTT41454",
"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 Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.