Pinecrest PT- Davie L.L.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT18067 Issued in FL

Legal business name

PINECREST PT- DAVIE L.L.C.

Practice address

4900 S University Dr Ste 106
Davie, FL 33328-3809

Phone

(305) 722-0568

NPI assigned

Mar 21, 2018

Last updated

Jul 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Rani Yacoub, MSPTNPI 1174642110

Title

Owner

Phone

(305) 722-0568

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ronald R Yacoub, MS,PT, ATC, CSCS

  • Physical Therapist
  • Miami, FL
  • NPI 1174642110
  Authorized official Same address or phone
• Christopher Rangel, PT,DPT

  • Physical Therapist
  • Davie, FL
  • NPI 1871126359
  NPD

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1902300379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331922",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332331922",
            "telephone_number": "305-722-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S UNIVERSITY DR STE 106",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283809",
            "telephone_number": "305-722-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST PT- DAVIE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-722-0568",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT18067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vashinggie Pierre
• Daniela Pifferrer
• Luis Alberto Pina Gutierrez
• Pine Island Dental Inc
• Pine Island Drugs Inc (Neighborhood Drugs of Davie)
• Carmelo Pineiro Jr.
• Estefanie A Pinela
• Pines Home Health Care Services Inc
• Veridiana Pinheiro, APRN
• Pinnacle Family Services of Florida, LLC.

• Physical Therapy Clinic/Center in Davie, FL
• Providers in Davie, 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 Jul 21, 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.