Organization Active NPI

Logistics Therapy of Broward LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1821277989
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
HCC3962 Issued in FL
Legal business name
LOGISTICS THERAPY OF BROWARD LLC
Practice address
8955 SW 87TH CT Ste 110
Miami, FL 33176-2264
Phone
(786) 363-3900
Fax
(305) 630-9654
NPI assigned
Oct 25, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Anelisa Perez
Title
Manager
Phone
(786) 363-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X HCC3962 FL Primary

Addresses

Primary practice location

8955 SW 87TH CT Ste 110
Miami, FL 33176-2264

Mailing address

8955 SW 87TH CT Ste 110
Miami, FL 33176-2264
Phone (786) 363-3900

Other identifiers 1

IdentifierTypeStateIssuer
68-6726OtherFLMEDICARE IDENTIFICATION

National Provider Directory

National Provider Directory

Locations

8955 SW 87th Ct
Ste 110
Miami, FL 33176
Phone (305) 270-1113

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1821277989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 SW 87TH CT STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762264",
            "telephone_number": "786-363-3900",
            "fax_number": "305-630-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 SW 87TH CT STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762264",
            "telephone_number": "786-363-3900",
            "fax_number": "305-630-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGISTICS THERAPY OF BROWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANELISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-363-3900"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC3962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION",
            "identifier": "68-6726",
            "state": "FL"
        }
    ],
    "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 27, 2007; 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.