Organization Active NPI

Advantgarde Physical Therapy Inc

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1982919346
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MM25220 Issued in FL
Legal business name
ADVANTGARDE PHYSICAL THERAPY INC
Practice address
11890 SW 8TH St
Suite 301
Miami, FL 33184-1743
Phone
(305) 225-4440
Fax
(305) 225-4441
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Ms. Carmen R EnriquezNPI 1114232550
Title
Owner
Phone
(305) 225-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MM25220 FL Primary

Addresses

Primary practice location

11890 SW 8TH St
Suite 301
Miami, FL 33184-1743

Mailing address

11890 SW 8TH St
Suite 301
Miami, FL 33184-1743
Phone (305) 225-4440

National Provider Directory

National Provider Directory

Locations

11890 SW 8th St
Ste 301
Miami, FL 33184
Phone (305) 207-9988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1982919346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 SW 8TH ST",
            "address_2": "SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841743",
            "telephone_number": "305-225-4440",
            "fax_number": "305-225-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 SW 8TH ST",
            "address_2": "SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841743",
            "telephone_number": "305-225-4440",
            "fax_number": "305-225-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTGARDE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-225-4440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MM25220",
            "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 10, 2010; 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.