Healthcare Provider Details

I. General information

NPI: 1083825012
Provider Name (Legal Business Name): NEW HEIGHTS REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 NE 8TH ST SUITE 104
HOMESTEAD FL
33030-4738
US

IV. Provider business mailing address

311 NE 8TH ST SUITE 104
HOMESTEAD FL
33030-4738
US

V. Phone/Fax

Practice location:
  • Phone: 305-322-7728
  • Fax: 305-245-0352
Mailing address:
  • Phone: 305-322-7728
  • Fax: 305-245-0352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT10003
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA25875
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License NumberOT10003
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT10003
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA11931
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 26142
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT 26142
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT 26142
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT 26142
License Number StateFL
# 10
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT10003
License Number StateFL

VIII. Authorized Official

Name: BLERIM DIBRA
Title or Position: OWNER/ PHYSICAL THERAPIST
Credential: LMT, PT, DPT
Phone: 305-322-7728