Organization Active NPI

Treasure Coast Mobile Rehab

  • Health Service Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1043669120
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH10983 Issued in FL
Legal business name
TREASURE COAST MOBILE REHAB
Practice address
1156 S Ocean Dr Apt B
Fort Pierce, FL 34949-3300
Phone
(216) 392-1379
NPI assigned
Jun 8, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Christopher Horne
Title
Owner
Phone
(216) 392-1379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CH10983 FL Primary

Addresses

Primary practice location

1156 S Ocean Dr Apt B
Fort Pierce, FL 34949-3300

Mailing address

1156 S Ocean Dr Apt B
Fort Pierce, FL 34949-3300
Phone (216) 392-1379

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1043669120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 S OCEAN DR APT B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349493300",
            "telephone_number": "216-392-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 S OCEAN DR APT B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349493300",
            "telephone_number": "216-392-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST MOBILE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-392-1379"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH10983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.