Organization Active NPI

Rehab Center P a

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1962528513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12087 Issued in FL
Legal business name
REHAB CENTER P A
Practice address
13838 SW 56TH St
Miami, FL 33175-6061
Phone
(305) 380-6296
Fax
(305) 380-6298
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd D Godberg, DC
Title
Officer Director
Phone
(305) 380-6296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT12087 FL Primary

Addresses

Primary practice location

13838 SW 56TH St
Miami, FL 33175-6061

Mailing address

13838 SW 56TH St
Miami, FL 33175-6061
Phone (305) 380-6296

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962528513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756061",
            "telephone_number": "305-380-6296",
            "fax_number": "305-380-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756061",
            "telephone_number": "305-380-6296",
            "fax_number": "305-380-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODBERG",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER DIRECTOR",
        "authorized_official_telephone_number": "305-380-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12087",
            "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 Aug 22, 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.