Active NPI
Reliance Medical Rehabilitation, LLC
- Physical Medicine & Rehabilitation Physician
- Lake Worth, FL
National Provider Identifier
1003041047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- RELIANCE MEDICAL REHABILITATION, LLC
- Practice address
- 3963-3965 Jog Road
Lake Worth, FL 33467-0000 - Phone
- (877) 225-5876
- NPI assigned
- May 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Raymond Damadian
- Title
- President
- Phone
- (516) 454-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3963-3965 Jog Road
Lake Worth, FL 33467-0000
Mailing address
125 Newtown Rd
Suite 200
Plainview, NY 11803-4314
Phone (516) 454-0700
National Provider Directory
National Provider DirectoryLocations
125 Newtown Rd
Ste 200
Plainview, NY 11803
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- North Palm Beach, FL
- NPI 1851333744
-
- Neurology Physician
- Miami, FL
- NPI 1447330048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242777600000",
"number": "1003041047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NEWTOWN RD",
"address_2": "SUITE 200",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034314",
"telephone_number": "516-454-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3963-3965 JOG ROAD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334670000",
"telephone_number": "877-225-5876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANCE MEDICAL REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A",
"authorized_official_last_name": "DAMADIAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-454-0700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.