Healthcare Provider Details

I. General information

NPI: 1063472702
Provider Name (Legal Business Name): N.B.P.T., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 71ST ST
MIAMI BEACH FL
33141-3013
US

IV. Provider business mailing address

309 71ST ST
MIAMI BEACH FL
33141-3013
US

V. Phone/Fax

Practice location:
  • Phone: 305-867-3925
  • Fax: 305-867-3927
Mailing address:
  • Phone: 305-867-3925
  • Fax: 305-867-3927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANDRA DI FAUSTO
Title or Position: PRESIDENT
Credential: DPT
Phone: 305-902-8130