Organization
CORA
Active
Organization
CORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER OTHON P.T. (REGIONAL MANAGER)
(305) 479-7593
Entity
Organization
Contact information
Practice address
1893 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL 33179-5035
(305) 682-0080
Mailing address
19501 E COUNTRY CLUB DR, #9304, AVENTURA, FL 33180-2551
(954) 790-2186
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT25769
FL
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up