Active NPI
Royal Palm Beach Rehab Corp
- Family Medicine Physician
- Wellington, FL
National Provider Identifier
1053975706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROYAL PALM BEACH REHAB CORP
- Practice address
- 1395 S State Road 7 Ste 300
Wellington, FL 33414-9326 - Phone
- (561) 795-2878
- NPI assigned
- Apr 29, 2019
- 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
- John Papa, DC
- Title
- Owner
- Phone
- (561) 801-2535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1395 S State Road 7 Ste 300
Wellington, FL 33414-9326
Mailing address
11211 Prosperity Farms Rd Ste B104
Palm Beach Gardens, FL 33410-3453
Phone (561) 537-4526
Other names 1
- Wellington Family Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100621000030 | FL | Part B Supplier - Clinic/Group Practice | 3476683335 |
Receives reassigned benefits from 82 practitioners 47 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Port St Lucie, FL; Okeechobee, FL; Orlando, FL; Palm Beach Gardens, FL; Plantation, FL; Altamonte Springs, FL; Royal Palm Beach, FL; Stuart, FL… |
Other NPIs on the same Medicare enrollment 47
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Altamonte Springs, FL
- NPI 1366917700
O20100621000030
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1720507072
O20100621000030
-
- Orthopaedic Surgery Physician
- Loxahatchee, FL
- NPI 1841128766
O20100621000030
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556496000000",
"number": "1053975706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 PROSPERITY FARMS RD STE B104",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103453",
"telephone_number": "561-537-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 S STATE ROAD 7 STE 300",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334149326",
"telephone_number": "561-795-2878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL PALM BEACH REHAB CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A",
"authorized_official_last_name": "PAPA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-801-2535",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellington Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.