MEDICARE: PHYSIO VITAE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1790558310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIO VITAE LLC

Provider Business Mailing Address
First Line	:	7441 WAYNE AVE APT 4Q
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2571
Country	:	US
Telephone Number	:	305-902-8130
Fax Number	:

Provider Business Practice Location Address
First Line	:	7441 WAYNE AVE APT 4Q
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2571
Country	:	US
Telephone Number	:	305-902-8130
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANDRA DI FAUSTO
Credential	:
Telephone Number	:	305-902-8130

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1437960473 — YANISLEYDI CAMPOS ALAYO
Practice Location Address:

7441 WAYNE AVE APT 4O
MIAMI BEACH, FL
33141-2571

Practice Phone: 305-525-1151
Practice Fax:

1912559048 — GEOFFREY E MCNEAVE CST, CSFA, CSA
Practice Location Address:

6410 KEY ISLAND AVE
APOLLO BEACH, FL
33572-2571

Practice Phone: 727-543-2057
Practice Fax:

1427312180 — CRISTINA NUNEZ
Practice Location Address:

55 SE 6TH ST APT 3307
MIAMI, FL
33131-2571

Practice Phone: 305-209-9430
Practice Fax:

1881150753 — CR BEHAVIOR SOLUTIONS LLC
Practice Location Address:

55 SE 6TH ST APT 3307
MIAMI, FL
33131-2571

Practice Phone: 786-660-1852
Practice Fax: 208-498-8438

1386870392 — NATIONAL THERAPY CENTER,INC.
Practice Location Address:

85 GRAND CANAL DR STE 408
MIAMI, FL
33144-2571

Practice Phone: 305-267-3484
Practice Fax: 305-267-3485

Directions to “PHYSIO VITAE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.