NPI Code Detail JSON Logo

1033317318 NPI number — REHAB INDEPENDENCE

NPI Number: 1033317318
Health Care Provider/Practitioner: REHAB INDEPENDENCE

Information about “1033317318” NPI (REHAB INDEPENDENCE) exists in 1033317318 in HTML format HTML  |  1033317318 in plain Text format TXT  |  1033317318 in PDF (Portable Document Format) PDF  |  1033317318 in an XML format XML  formats.

NPI Number : 1033317318 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033317318",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REHAB INDEPENDENCE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20255 NW 3RD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI GARDENS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33169-2518",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-651-1757",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20255 NW 3RD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI GARDENS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33169-2518",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-651-1757",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/06/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WEECH",
    "AuthorizedOfficialFirstName": "CHAUNTE",
    "AuthorizedOfficialMiddleName": "TRENISE",
    "AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OTR",
    "AuthorizedOfficialTelephoneNumber": "786-277-2570",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "OT11897",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "PTA 18652",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "302F00000X",
          "TaxonomyName": "Exclusive Provider Organization",
          "LicenseNumber": "OT11897",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "302R00000X",
          "TaxonomyName": "Health Maintenance Organization",
          "LicenseNumber": "PTA 18652",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "302R00000X",
          "TaxonomyName": "Health Maintenance Organization",
          "LicenseNumber": "OT11897",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "305R00000X",
          "TaxonomyName": "Preferred Provider Organization",
          "LicenseNumber": "OT11897",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "305S00000X",
          "TaxonomyName": "Point of Service",
          "LicenseNumber": "PTA18652",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "305S00000X",
          "TaxonomyName": "Point of Service",
          "LicenseNumber": "OT11897",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.