C & G Rehab Serv Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

686706 Issued in FL

Legal business name

C & G REHAB SERV CORP

Practice address

7911 NW 72ND Ave
Ste 118a
Medley, FL 33166

Phone

(305) 863-6585

Fax

(305) 863-6583

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Arquimides Pupo

Title

Administrator

Phone

(305) 863-6585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1013989680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "address_2": "STE 118A",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-863-6585",
            "fax_number": "305-863-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "address_2": "STE 118A",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-863-6585",
            "fax_number": "305-863-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & G REHAB SERV CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PUPO",
        "authorized_official_first_name": "ARQUIMIDES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-863-6585"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "686706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Medley, FL
• Providers in Medley, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.