SOUTH COAST PHYSICAL THERAPY INC (NPI# 1134274749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134274749 |
Entity Type | Organization |
Organization Name | SOUTH COAST PHYSICAL THERAPY INC |
Practice Address |
4999 W 8th Ave Suite 6 Hialeah FL 33012-3409 |
Practice Telephone | 3058210100 |
Practice Fax Number | 3058210808 |
Mailing Telephone | 3058210100 |
Mailing Fax Number | 3058210808 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-12-20 |
Authorized Official Name | RASSOUL ABTAHI (PHYSICAL THERAPY PRESIDENT) |
Authorized Official Telephone | 3058210100 |
Authorized Official Credential | 305 8210100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | RPT0004946 | FL | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 881213600 | 05 |
Street Address |
4999 W 8TH AVE SUITE 6 |
City | HIALEAH |
State | FL |
Zip Code | 33012-3409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063408029 | Jorge L Alsina | Pediatrics | 4999 W 8th Ave, Suite 26, Hialeah, FL 33012-3409 | 2005-09-26 |
1679981757 | Alpha Dental Group | Dentist | 4999 W 8th Ave, Suite 1, Hialeah, FL 33012-3409 | 2014-08-01 |
1851729966 | Rehab Relief Center Corp | Clinic/Center | 4999 W 8th Ave, Suite 1, Hialeah, FL 33012-3409 | 2013-10-29 |
1891966438 | Rassoul Abtahi | Specialist | 4999 W 8th Ave, #6, Hialeah, FL 33012-3409 | 2008-03-21 |
1225209612 | Jorge L Cardenas-zito Md Pa | Clinic/Center | 4999 W 8th Ave, Suite # 22, Hialeah, FL 33012-3409 | 2008-03-13 |
1285707695 | Jorge L Cardenas | General Practice | 4999 W 8th Ave, Suite # 22, Hialeah, FL 33012-3409 | 2006-11-15 |
1639261563 | Liilian Rosa Roca-godinez | Dentist | 4999 W 8th Ave, Ste # 1, Hialeah, FL 33012-3409 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
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Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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1932400900 | Allasso Wellness Counseling, LLC. | Preferred Provider Organization | 1735 W 65th St, Hialeah, FL 33012-6111 | 2010-11-08 |
1922066638 | Jaime E. Campos, M.d., P.a. | Preferred Provider Organization | 7100 W 20th Ave Ste 303, Hialeah, FL 33016-1812 | 2006-05-02 |
1124440227 | Miriam M. Lara M.d. Pa | Preferred Provider Organization | 2100 W 68th St, Hialeah, FL 33016-1804 | 2014-01-09 |
1942443007 | Western Quality Group | Preferred Provider Organization | 15476 Nw 77th Ct, Suite355, Hialeah, FL 33016-5823 | 2009-04-19 |
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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.