PREMIER PHYSICAL THERAPY LLC (NPI# 1316427461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316427461 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICAL THERAPY LLC |
| Other Organization Name | PHYSICAL THERAPY NOW CORAL GABLES |
| Practice Address |
2690 Sw 22nd St Unit 3 Coral Gables FL 33145-3406 |
| Practice Telephone | 3055701666 |
| Practice Fax Number | 3052030546 |
| Mailing Telephone | 3055701666 |
| Mailing Fax Number | 3052030546 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | DAYLIN REVILLA (OWNER) |
| Authorized Official Telephone | 3055701666 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT26790 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | PTA24456 | 01 |
| Other Name | Type Code |
|---|---|
| Physical Therapy Now Coral Gables | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510843 | Premier Physical Therapy LLC | Physical Therapist | 3333 W Hefner Rd Ste D, Oklahoma City, OK 73120-5060 | 2020-08-29 |
| Street Address |
2690 SW 22ND ST UNIT 3 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33145-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711298 | Silvia Barbara Nunez | Behavior Technician | 2343 Sw 17th Terrace, Miami, FL 33145 | 2020-08-18 |
| 1669030813 | Macrina Morera Martinez | Behavior Technician | 3191 Sw 14th St Apt 3, Miami, FL 33145 | 2019-06-03 |
| 1275013898 | Ana Diez Sampedro | Nurse Practitioner | 1921 Sw 33rd Ct, Miami, FL 33145 | 2018-08-14 |
| 1811489461 | Riviera Tu Comida Favorita Corp. | Home Delivered Meals | 3138 Coral Way, Miami, FL 33145 | 2018-05-30 |
| 1710475587 | Mayte Gentil Gomez | Nurse Practitioner | 3536 Sw 22 Terrace, Miami, FL 33145 | 2018-04-27 |
| 1073027967 | Ismaray Morejon | Behavior Technician | 1407 Sw 19th St, Miami, FL 33145 | 2017-11-30 |
| 1154833176 | Yuniar Porto Jimenez | Nurse Practitioner | 2021 Sw 23 Terrace, Miami, FL 33145 | 2017-10-31 |
| 1447769013 | Nidal Qaad | Nurse Practitioner | 3500 Coral Way, Apt 1002, Miami, FL 33145 | 2017-09-26 |
| 1821514209 | Angelica Maria Gonzalez | Behavior Technician | 3506 Sw 23rd Ter, Miami, FL 33145 | 2017-08-17 |
| 1639692924 | Yaile Espino Fernandez | Behavior Technician | 3660 Sw 16th Ter Apt #2, Miami, FL 33145 | 2017-07-19 |
| Find all providers in zip 33145 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098099 | Durban Medical Group | Clinic/Center | 5545 Sw 8th St Ste 101, Coral Gables, FL 33134-2276 | 2020-09-22 |
| 1841817038 | Apollo Health Network Inc. | Clinic/Center | 1116 Asturia Ave, Coral Gables, FL 33134-4734 | 2020-07-03 |
| 1679102917 | Sunshine Med Group, Inc | Clinic/Center | 3990 W Flagler St Ste 406, Coral Gables, FL 33134-1644 | 2020-04-08 |
| 1659907848 | Danny Ruiz | Clinic/Center | 3990 W Flagler St Ste 205, Coral Gables, FL 33134-1644 | 2020-03-19 |
| 1013541861 | Advance Wound Care Specialists, Inc. | Clinic/Center | 1 Alhambra Plz Ste 1410, Coral Gables, FL 33134-5247 | 2020-03-01 |
| 1841821592 | Physician Partners of South Florida, LLC | Clinic/Center | 901 Ponce De Leon Blvd Ste 303, Coral Gables, FL 33134-3059 | 2020-01-31 |
| 1356817571 | Csb Investments LLC | Clinic/Center | 4491 Sw 4th St, Coral Gables, FL 33134-1927 | 2018-10-15 |
| 1922548775 | El Encanto Medical Centers, Inc | Clinic/Center | 255 University Dr, 1st Floor, Coral Gables, FL 33134-6732 | 2017-02-27 |
| 1225577414 | Calidad Medical Center Inc | Clinic/Center | 1825 Ponce De Leon Blvd Ste 191, Coral Gables, FL 33134-4418 | 2017-02-21 |
| 1376974915 | Prime Medical & Rehab Services Inc | Clinic/Center | 23 Almeria, Ste. 4, Coral Gables, FL 33134 | 2013-12-09 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33145 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.