Active NPI
Lakes Rehab
- Physical Therapy Clinic/Center
- Miami Lakes, FL
National Provider Identifier
1831534577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- HCC6514
- Legal business name
- LAKES REHAB
- Practice address
- 5803 NW 151St St Ste 107
Miami Lakes, FL 33014-2473 - Phone
- (305) 929-8450
- Fax
- (305) 827-4422
- NPI assigned
- May 8, 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
- Mr. Richet Cunill
- Title
- Owner/ President
- Phone
- (305) 929-8441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | HCC6514 | FL | Primary |
Addresses
Primary practice location
5803 NW 151St St Ste 107
Miami Lakes, FL 33014-2473
Mailing address
5803 NW 151St St Ste 107
Miami Lakes, FL 33014-2473
Phone (305) 929-8450
Other names 1
- Palmetto lakes therapy and rehabilitation center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367971200000",
"number": "1831534577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 107",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142473",
"telephone_number": "305-929-8450",
"fax_number": "305-827-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 107",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142473",
"telephone_number": "305-929-8450",
"fax_number": "305-827-4422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A",
"authorized_official_last_name": "CUNILL",
"authorized_official_first_name": "RICHET",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "305-929-8441",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "HCC6514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto lakes therapy and rehabilitation center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.