Active NPI
Physiokinetics Inc
- Home Health Agency
- West Palm BCH, FL
National Provider Identifier
1003097007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.