NPIMap

Organization Active NPI

Pinecrest Strength & Conditioning, L.L.C.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1962011221
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PINECREST STRENGTH & CONDITIONING, L.L.C.
Practice address
7040 SW 44TH St
Miami, FL 33155-4609
Phone
(305) 722-0568
Fax
(305) 670-0899
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7040 SW 44TH St
Miami, FL 33155-4609

Mailing address

PO Box 331941
Miami, FL 33233-1941
Phone (305) 722-0568

National Provider Directory

National Provider Directory

Locations

7040 SW 44th St
Miami, FL 33155
Phone (786) 568-7016

Practitioners & affiliated clinicians

Practitioners 6

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1962011221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331941",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332331941",
            "telephone_number": "305-722-0568",
            "fax_number": "306-670-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 SW 44TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554609",
            "telephone_number": "305-722-0568",
            "fax_number": "305-670-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST STRENGTH & CONDITIONING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.