NPIMap

Organization Active NPI

Renascence Therapy Center, Inc

  • Speech-Language Pathologist
  • Miami Lakes, FL
National Provider Identifier
1952647539
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
RENASCENCE THERAPY CENTER, INC
Practice address
15291 NW 60TH Ave Suite 100
Miami Lakes, FL 33014
Phone
(305) 549-8876
Fax
(305) 549-8877
NPI assigned
Dec 30, 2012
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mrs. Yordanka Ibarra, PTANPI 1811871403
Title
President/Owner
Phone
(786) 328-9217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

15291 NW 60TH Ave Suite 100
Miami Lakes, FL 33014

Mailing address

15291 NW 60TH Ave Suite 100
Miami Lakes, FL 33014
Phone (305) 549-8876

National Provider Directory

National Provider Directory

Locations

15291 NW 60th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 459-8876

Practitioners & affiliated clinicians

Practitioners 11

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": "1356825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1952647539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE SUITE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-549-8876",
            "fax_number": "305-549-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE SUITE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-549-8876",
            "fax_number": "305-549-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENASCENCE THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-30",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "YORDANKA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-328-9217",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2019; 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.