Individual provider Active NPI

Guillermo A De Novi, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1811329311
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28337 Issued in FL
Practice address
8790 SW 132ND St
Miami, FL 33176-5932
Phone
(305) 338-6821
NPI assigned
Aug 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28337 FL Primary

Addresses

Primary practice location

8790 SW 132ND St
Miami, FL 33176-5932

Mailing address

8790 SW 132ND St
Miami, FL 33176-5932
Phone (305) 338-6821

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
28337FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Lab Miami LLC CurrentSince Dec 13, 2020 Accepting new patients

Locations

8790 SW 132nd St
Miami, FL 33176
Phone (305) 338-6821

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1811329311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 SW 132ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765932",
            "telephone_number": "305-338-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 SW 132ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765932",
            "telephone_number": "305-338-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE NOVI",
        "first_name": "GUILLERMO",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28337",
            "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 Dec 8, 2020; 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.