Active Rehab Service, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2883 Issued in FL

Legal business name

ACTIVE REHAB SERVICE, INC.

Practice address

10250 SW 56TH St
Ste B103
Miami, FL 33165-7069

Phone

(305) 595-0345

Fax

(305) 595-0334

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Al Mirza

Title

President

Phone

(305) 595-0345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1962482034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST",
            "address_2": "STE B103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657069",
            "telephone_number": "305-595-0345",
            "fax_number": "305-595-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST",
            "address_2": "STE B103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657069",
            "telephone_number": "305-595-0345",
            "fax_number": "305-595-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE REHAB SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-595-0345"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT2883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acu Care Center

• All providers in Miami, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.