Sunstate Rehab LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUNSTATE REHAB LLC

Practice address

58 NE 167TH St
Miami, FL 33162-3401

Phone

(305) 956-7787

Fax

(305) 956-7716

NPI assigned

Nov 18, 2010

Last updated

Jul 29, 2011By 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. Jerry Tishman, DCNPI 1679556393

Title

MGR

Phone

(561) 487-7200

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.

• Jerry Tishman, D.C.

  • Chiropractor
  • Boca Raton, FL
  • NPI 1679556393
  Authorized official Same address or phone
• Robert Frank Piasio, D.C.

  • Chiropractor
  • Plantation, FL
  • NPI 1386783272
  NPD (past)

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1942502265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 NE 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 NE 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623401",
            "telephone_number": "305-956-7787",
            "fax_number": "305-956-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTATE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "TISHMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-487-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Wellness Services LLC
• Sunshine With Love LLC
• Sunshine Wound Health Care Corp
• Sunsouth Health Centers LLC (Mas Health Centers)
• Sunsouth Health Centers South Florida, LLC
• Suntherapy, Inc. (Cloud Clinic)
• Sunvital Healthcare Center Corp
• Super Class Rehab Center Inc (Super Class and Rehab Center Inc)
• Super Dentist Miami Corp.
• Super Hero Speech

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.