=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609101484
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPS PHYSICAL THERAPY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2009
-----------------------------------------------------
Last Update Date | 10/12/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8200 SW 117TH AVE SUITE 104
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33183-4824
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-403-0131
-----------------------------------------------------
Fax | 305-403-0767
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9432 SW 89TH CT
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-2971
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-403-0131
-----------------------------------------------------
Fax | 305-403-0767
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DR. RAMIRO NIEVES
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-403-0131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------