Tko Medical Corporation

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

TKO MEDICAL CORPORATION

Doing business as

TKO Medical

Practice address

4995 NW 72ND Ave Ste 409
Miami, FL 33166-5643

Phone

(855) 707-9787

Fax

(888) 377-5190

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Ken Rasmussen

Title

Ceo

Phone

(559) 681-4119

Specialties & licenses 2

Addresses

Other names 2

• TKO Medical Doing business as
• TKO MEDICAL CORPORATION Former legal business name

Locations

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1972381127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 NW 72ND AVE STE 409",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665643",
            "telephone_number": "559-314-4874",
            "fax_number": "888-377-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 NW 72ND AVE STE 409",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665643",
            "telephone_number": "855-707-9787",
            "fax_number": "888-377-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-681-4119"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TKO Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TKO MEDICAL CORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "TKO MEDICAL CORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Albert Tiu, M.D.
• Timothy Kevin Tiu, MD
• Rosangela Tiza Calderon
• Reina Luisa Tiza Jova
• Youley Tjendra, M.D.
• TLC Assistant Living Facility Inc.
• TLC Diagnostic Corp
• TLC Health Services, Inc.
• TLC Home Health Care, Inc.
• TLC of South FL Home Maker & Companion Services LLC

• Customized Equipment (DME) in Miami, FL
• Providers in Miami, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.