Body & Mind Rehab Medical Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODY & MIND REHAB MEDICAL CENTER INC

Practice address

1890 SW 57TH Ave Ste 104
Miami, FL 33155-2164

Phone

(786) 558-5957

Fax

(786) 558-4226

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Boris Duarte

Title

Owner

Phone

(786) 558-5957

Specialties & licenses 2

Addresses

Other names 1

• Body & Mind Rehab Medical Center Inc Former legal business name

Locations

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1841946266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SW 57TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "786-558-5957",
            "fax_number": "786-558-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SW 57TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "786-558-5957",
            "fax_number": "786-558-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & MIND REHAB MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-558-5957"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body & Mind Rehab Medical Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Body & Mind Rehab Medical Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bohdan E Bodlak, MD
• Natalie Alejandra Bodolay, DPT
• Jacob Bodway
• Body & Healing Evolution, LLC
• Body & Mind Rehab Inc
• Body & Sole Wellness, LLC
• Body by Abbate, LLC
• Body Mind Spirit Natural Health
• Body RX Antiaging LLC
• Body-Mind Medical Care

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.