Neuromuscular Therapy of South Florida, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

NEUROMUSCULAR THERAPY OF SOUTH FLORIDA, INC.

Practice address

9425 SW 72ND St Ste 186
Miami, FL 33173-3298

Phone

(305) 596-4876

Fax

(305) 596-4861

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Maria A Gavilanez

Title

Administrator

Phone

(305) 596-4876

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 106853

Legal name

NEUROMUSCULAR THERAPY OF SOUTH FLORIDA INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

May 4, 1994

Last certification

Jul 27, 2023

Ownership / control type

Proprietary

Facility address

9425 SW 72ND St Suite 186
Miami, FL 33173

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982741690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 SW 72ND ST STE 186",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733298",
            "telephone_number": "305-596-4876",
            "fax_number": "305-596-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 SW 72ND ST STE 186",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733298",
            "telephone_number": "305-596-4876",
            "fax_number": "305-596-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMUSCULAR THERAPY OF SOUTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAVILANEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-596-4876"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y903N",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEP",
            "identifier": "R5A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurology Mobile System Associates Inc
• Neurology Mobile System Associates,Inc
• Neuroloogicial Neurosurgical Pain Management Center Inc
• Neuromuscular Physical Therapy, Inc
• Neuromuscular Rehabilitation Center, Inc
• Neuropsychological Institue, P.a.
• Neuropsychology Associates of Miami
• Neuroquest LLC
• Neuroscience Centers of Florida Foundation, Inc. (Brain Center)
• Neuroscience Consultants LLP

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Miami, FL
• Providers in Miami, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.