DR. KEIKO FERNANDEZ (NPI# 1699913673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699913673 |
| Entity Type | Individual |
| Full Name | DR. KEIKO FERNANDEZ |
| Credential | DPT |
| Practice Address |
1800 Sw 1st Ave Ste 502 Miami FL 33129-1181 |
| Practice Telephone | 7863994453 |
| Practice Fax Number | 8883684883 |
| Mailing Telephone | 7863994453 |
| Mailing Fax Number | 8883684883 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
029175 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
25823 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
029175 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
25823 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
029175 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
25823 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DRIVERS LISENCE | F655500817220 | 01 |
| Street Address |
1800 SW 1ST AVE STE 502 |
| City | MIAMI |
| State | FL |
| Zip Code | 33129-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639705809 | Andrea Maria Llano | Occupational Therapist | 1800 Sw 1st Ave Ste 502, Miami, FL 33129-1181 | 2020-03-19 |
| 1710513130 | Alexia Lilly Lacayo | Occupational Therapist | 1800 Sw 1st Ave Ste 502, Miami, FL 33129-1181 | 2020-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029548 | Daniel Sheridan | Psychologist | 2730 Sw 3rd Ave., Suite 202-o, Miami, FL 33129 | 2018-07-10 |
| 1710494166 | Ernestina Dupote | Nurse Practitioner | 200 Se 15th Rd, 16a, Miami, FL 33129 | 2018-01-08 |
| 1497264212 | Maria Fumero Mussini | Acupuncturist | 64 Sw 18 Road, Miami, FL 33129 | 2017-09-25 |
| 1477082964 | Lillian Maite Moya | Nurse Practitioner | 2222 Brickell Ave Apt 5, Miami, FL 33129 | 2017-06-08 |
| 1104170091 | Rodolfo Antonio Paez | Massage Therapist | 2951 Sw 1 Ave, Miami, FL 33129 | 2012-10-31 |
| 1134489560 | Jolie M Cummings | Speech-Language Pathologist | 2625 S.w. 3 Avenue, Miami, FL 33129 | 2012-05-18 |
| 1396049656 | Lila Giselle Paredes Vera | Speech-Language Pathologist | 1723 Sw 2nd Ave Apt 1202, Miami, FL 33129 | 2010-12-30 |
| 1891939294 | Alexis Dominguez | Obstetrics & Gynecology | 3161 South Miami Ave, Ste 710, Miami, FL 33129 | 2009-04-29 |
| 1538360821 | Assisted Home Living #2 | Assisted Living Facility | 2942 Sw 4 Ave, Miami, FL 33129 | 2007-05-31 |
| 1518168889 | Assisted Home Living #4 | Assisted Living Facility | 316 Sw 18 Terr, Miami, FL 33129 | 2007-05-31 |
| Find all providers in zip 33129 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407344211 | Big Bear Therapy Institute | Physical Therapist | 9035 Sunset Dr Ste 102, Miami, FL 33173-3441 | 2018-04-26 |
| 1174961478 | Care Love Therapy Inc. | Physical Therapist | 13252 Nw 1st Ter, Miami, FL 33182-1640 | 2013-06-07 |
| 1942550678 | Laura Rivera | Physical Therapist | 8585 Sunset Dr Ste 103b, Miami, FL 33143 | 2012-09-10 |
| 1669743217 | South Florida Hands On Therapy,inc. | Physical Therapist | 13900 Sw 8th Ter, Miami, FL 33184-3069 | 2012-01-13 |
| 1033438726 | Abc Children's Therapy, LLC | Physical Therapist | 1000 Brickell Ave Ste 225, Miami, FL 33131-3046 | 2010-05-20 |
| 1235320813 | Mytherapy, Inc. | Physical Therapist | 13441 Sw 62nd St, 4, Miami, FL 33183-5134 | 2007-08-07 |
| 1205033867 | Maria C Castaneda-mccann | Physical Therapist | 7040 Sw 144th Ct, Miami, FL 33183-2130 | 2007-06-28 |
| 1720161094 | Jean K Wilson | Physical Therapist | 9720 Sw 162nd St, Miami, FL 33157-3318 | 2006-10-23 |
| 1518066901 | Thomas Deaza | Physical Therapist | 11252 Sw 152nd Pl, Miami, FL 33196-4369 | 2006-09-21 |
| 1033734405 | Macey Cherie Thornburg | Physical Therapist | 13155 Sw 134th St Ste 207, Miami, FL 33186-4488 | 2020-06-11 |
| 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.