Provider Demographics
NPI:1184318230
Name:PHYSICAL THERAPY CLINICS OF MIAMI
Entity type:Organization
Organization Name:PHYSICAL THERAPY CLINICS OF MIAMI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINSELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-301-8848
Mailing Address - Street 1:888 BRICKELL KEY DR APT 2203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2670
Mailing Address - Country:US
Mailing Address - Phone:786-301-8848
Mailing Address - Fax:
Practice Address - Street 1:3150 W 76TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-3886
Practice Address - Country:US
Practice Address - Phone:305-677-9507
Practice Address - Fax:305-677-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy