Active NPI
Physical 4 U, Inc
- Home Health Agency
- Miami Lakes, FL
National Provider Identifier
1811239031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PHYSICAL 4 U, INC
- Practice address
- 5729 NW 151 St Suite
Miami Lakes, FL 33014 - Phone
- (786) 558-7122
- Fax
- (786) 558-9350
- NPI assigned
- Mar 26, 2013
- 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
- Marlen Rodriguez, PTA
- Title
- President
- Phone
- (786) 558-7122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5729 NW 151 St Suite
Miami Lakes, FL 33014
Mailing address
5729 NW 151 St Suite
Miami Lakes, FL 33014
Phone (786) 558-7122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200709003389 | FL | Part A Provider - Home Health Agency | 7810310745 | Practice locations: Miami Lakes, FL |
Home health agency certification: CCN 687084
- Legal name
- PHYSICAL 4U, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 26, 2020
- Last certification
- Nov 26, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 29, 2011 in FL
- Enrollment address
- 5729 NW 151St St
Miami Lakes, FL 33014-2481
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Physical 4U Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 26, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Physical 4 U Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Miami Lakes, FL
- NPI 1639837362
Locations
15327 NW 60th Ave
Ste 220
Miami Lakes, FL 33014
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marlen Rodriguez | 5% Or Greater Direct Ownership Interest | Dec 29, 2011 | 100% |
| W-2 Managing Employee | Dec 29, 2011 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565913600000",
"number": "1811239031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5729 NW 151 ST SUITE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "33014",
"telephone_number": "786-558-7122",
"fax_number": "786-558-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5729 NW 151 ST SUITE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "33014",
"telephone_number": "786-558-7122",
"fax_number": "786-558-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL 4 U, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-26",
"last_updated": "2019-08-16",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "MARLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-558-7122",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.