Organization Active NPI

Rooted Wellness Physical Therapy

  • Physical Therapy Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1972216182
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROOTED WELLNESS PHYSICAL THERAPY
Practice address
145 Madeira Ave Ste 206
Coral Gables, FL 33134-4520
Phone
(305) 608-4517
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Alexia Incera-Garcia, DPT
Title
Owner/Physical Therapist
Phone
(305) 608-4517

Specialties & licenses 1

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

Addresses

Primary practice location

145 Madeira Ave Ste 206
Coral Gables, FL 33134-4520

Mailing address

5863 SW 42ND St
Miami, FL 33155-5311
Phone (305) 608-4517

National Provider Directory

National Provider Directory

Locations

145 Madeira Ave
Ste 206
Coral Gables, FL 33134
Phone (305) 608-4517

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1972216182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5863 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555311",
            "telephone_number": "305-608-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MADEIRA AVE STE 206",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344520",
            "telephone_number": "305-608-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED WELLNESS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "INCERA-GARCIA",
        "authorized_official_first_name": "ALEXIA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-608-4517",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.