Organization Active NPI

Excellent Therapy Inc

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1972161461
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EXCELLENT THERAPY INC
Practice address
7855 NW 12TH St Ste 114
Doral, FL 33126-1818
Phone
(786) 803-8550
Fax
(786) 803-8370
NPI assigned
May 30, 2019
Last updated
Jan 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Authorized official

Name
Vivian Chavez
Title
President
Phone
(786) 803-8550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

7855 NW 12TH St Ste 114
Doral, FL 33126-1818

Mailing address

7855 NW 12TH St Ste 114
Doral, FL 33126-1818
Phone (786) 803-8550

National Provider Directory

National Provider Directory

Locations

7855 NW 12th St
Ste 114
Doral, FL 33126
Phone (786) 803-8550

7855 NW 12th St
Ste 203
Doral, FL 33126

Practitioners & affiliated clinicians

Practitioners 1

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": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1972161461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 114",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261818",
            "telephone_number": "786-803-8550",
            "fax_number": "786-803-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 114",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261818",
            "telephone_number": "786-803-8550",
            "fax_number": "786-803-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-803-8550"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.