MYOACTIVE REHABILITATION, LLC (NPI# 1659991339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659991339 |
| Entity Type | Organization |
| Organization Name | MYOACTIVE REHABILITATION, LLC |
| Practice Address |
10971 Sw 40th St Miami FL 33165-4412 |
| Mailing Address |
2825 Sw 145th Ave Miami FL 33175-7442 |
| Practice Telephone | 3052815124 |
| Mailing Telephone | 3052815124 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | DR. JAVIER BUSUTIL (OWNER) |
| Authorized Official Telephone | 3052815124 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
10971 SW 40TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1639786775 | Friend Rehabilitation Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206c, Miami, FL 33135-5603 | 2020-09-23 |
| 1760099808 | Hernandez Medical Center | Clinic/Center | 8300 W Flagler St Ste 254d1, Miami, FL 33144-6000 | 2020-09-23 |
| 1073129748 | Be Free Miami | Clinic/Center | 2901 Ne 1st Ave Apt 420, Miami, FL 33137-5318 | 2020-09-18 |
| 1578177200 | Mateo Reablitation Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206b, Miami, FL 33135-5603 | 2020-09-01 |
| 1841804416 | Odulamy, Inc | Clinic/Center | 540 Nw 165th Street Rd Ste 301, Miami, FL 33169-6345 | 2020-09-01 |
| 1144832783 | Gregoria Medical Center Corp | Clinic/Center | 13155 Sw 134th St Ste 221a, Miami, FL 33186-4489 | 2020-08-17 |
| 1588275911 | Jimenez Wellness and Rehab Center LLC | Clinic/Center | 1042 Nw 87th Ave Apt 102, Miami, FL 33172-3029 | 2020-08-10 |
| 1962011221 | Pinecrest Strength & Conditioning, L.L.C. | Clinic/Center | 7040 Sw 44th St, Miami, FL 33155-4609 | 2020-07-23 |
| 1063020311 | Final Touch Therapy Center Corp | Clinic/Center | 4790 Nw 7th St Ste 102, Miami, FL 33126-2200 | 2020-07-22 |
| Find all providers in MIAMI | ||||
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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.