OrganizationActive
Life Medical Rehabilitation Corp
NPI 1104458413 · Physical Therapy Clinic/Center · Miami, FL
Provider details
- NPI number
- 1104458413
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Boris Duarte, President(786) 715-7432
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1890 Sw 57th Ave Ste 104
Miami, FL 33155-2164
Phone: (786) 431-5898
Fax: (786) 485-3189
Approximate (ZIP-level) locationGet directions
Mailing address
1890 Sw 57th Ave Ste 104
Miami, FL 33155-2164
Other names (DBA / former)
- Former legal business name
- Life Medical Rehabilitation
- Doing business as
- Therapy Clinic
Registry dates
- Enumerated
- 2020-02-05
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.