Organization Active NPI

Professional Technician Rehabilitation Corp

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
National Provider Identifier
1972521938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PROFESSIONAL TECHNICIAN REHABILITATION CORP
Practice address
42 NW 27TH Ave
Suite 323
Miami, FL 33125-5127
Phone
(305) 642-0708
Fax
(305) 642-6989
NPI assigned
Jul 18, 2006
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
Graciela Ricardo
Title
President
Phone
(305) 642-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X FL Primary

Addresses

Primary practice location

42 NW 27TH Ave
Suite 323
Miami, FL 33125-5127

Mailing address

42 NW 27TH Ave
Suite 323
Miami, FL 33125-5127
Phone (305) 642-0708

National Provider Directory

National Provider Directory

Locations

42 NW 27th Ave
Ste 323
Miami, FL 33125
Phone (305) 400-8998

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972521938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE",
            "address_2": "SUITE 323",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255127",
            "telephone_number": "305-642-0708",
            "fax_number": "305-642-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE",
            "address_2": "SUITE 323",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255127",
            "telephone_number": "305-642-0708",
            "fax_number": "305-642-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL TECHNICIAN REHABILITATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-0708"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": null,
            "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.