Healthcare Provider Details

I. General information

NPI: 1891536553
Provider Name (Legal Business Name): PROMPT REHABILITATION GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10305 NW 41ST ST STE 115
DORAL FL
33178-2975
US

IV. Provider business mailing address

10152 COSTA DEL SOL BLVD FL 33178
DORAL FL
33178-2354
US

V. Phone/Fax

Practice location:
  • Phone: 786-370-2476
  • Fax:
Mailing address:
  • Phone: 786-370-2476
  • Fax: 305-395-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FAISAL QUINTAR
Title or Position: DIRECTOR
Credential: PT
Phone: 786-370-2476