OrganizationActive
Fresh Fitness & Stretch Therapy
NPI 1023677564 · Developmental Disabilities Clinic/Center · North Miami Beach, FL
Provider details
- NPI number
- 1023677564
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Nicolas, Ceo(786) 559-1268
Specialties & taxonomies
Ambulatory Health Care Facilities
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
230 Ne 175th Ter
North Miami Beach, FL 33162-1764
Phone: (305) 731-0103
Street-level locationGet directions
Mailing address
18117 Biscayne Blvd # 1061
Aventura, FL 33160-2535
Registry dates
- Enumerated
- 2019-06-09
- Last updated
- 2020-12-29
- Certified
- 2020-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.