Organization Active NPI

Physiokinetics Inc

  • Home Health Agency
  • West Palm BCH, FL
National Provider Identifier
1003097007
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHYSIOKINETICS INC
Practice address
4393 Lake Tahoe Cir
West Palm BCH, FL 33409-7872
Phone
(561) 616-7664
NPI assigned
Nov 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Mark Rose, PT
Title
Business Manager
Phone
(561) 616-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4393 Lake Tahoe Cir
West Palm BCH, FL 33409-7872

Mailing address

4393 Lake Tahoe Cir
West Palm BCH, FL 33409-7872
Phone (561) 616-7664

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1003097007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 LAKE TAHOE CIR",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334097872",
            "telephone_number": "561-616-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4393 LAKE TAHOE CIR",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334097872",
            "telephone_number": "561-616-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOKINETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-18",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "561-616-7664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.