Active NPI
Prime Orthopedic Rehabilitation LLC
- Physical Therapy Clinic/Center
- Boca Raton, FL
National Provider Identifier
1023698537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PRIME ORTHOPEDIC REHABILITATION LLC
- Practice address
- 4065 Yarmouth D
Boca Raton, FL 33434-4544 - Phone
- (917) 797-0583
- Fax
- (201) 503-7177
- NPI assigned
- Apr 9, 2021
- Last updated
- Apr 9, 2021
- 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
- Michal Porath, PT, MPT
- Title
- Owner
- Phone
- (201) 503-7173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
4065 Yarmouth D
Boca Raton, FL 33434-4544
Mailing address
111 Dean Dr
Tenafly, NJ 07670-2764
Phone (201) 503-7173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Delray Beach, FL
- NPI 1063504827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617926400000",
"number": "1023698537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DEAN DR",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702764",
"telephone_number": "201-503-7173",
"fax_number": "201-503-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4065 YARMOUTH D",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344544",
"telephone_number": "917-797-0583",
"fax_number": "201-503-7177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME ORTHOPEDIC REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A",
"authorized_official_last_name": "PORATH",
"authorized_official_first_name": "MICHAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-503-7173",
"authorized_official_credential": "PT, MPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.