Organization Active NPI

South Florida Pain & Rehabilitation of West Broward

  • Rehabilitation Chiropractor
  • Sunrise, FL
National Provider Identifier
1063770766
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH8093 Issued in FL
Legal business name
SOUTH FLORIDA PAIN & REHABILITATION OF WEST BROWARD
Practice address
3537 N Pine Island Rd
Sunrise, FL 33351-6638
Phone
(954) 746-2662
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Danny S Feder, DC
Title
President
Phone
(954) 942-8085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CH8093 FL Primary

Addresses

Primary practice location

3537 N Pine Island Rd
Sunrise, FL 33351-6638

Mailing address

1600 S Federal Hwy Ste 390
Pompano Beach, FL 33062-7553
Phone (954) 942-8085

National Provider Directory

National Provider Directory

Locations

3537 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 270-4325

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1063770766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY STE 390",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627553",
            "telephone_number": "954-942-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516638",
            "telephone_number": "954-746-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PAIN & REHABILITATION OF WEST BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-942-8085",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH8093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.