Omincare Chiropractic and Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OMINCARE CHIROPRACTIC AND REHABILITATION LLC

Practice address

601 N Congress Ave Ste 414
Delray Beach, FL 33445-4640

Phone

(561) 921-0386

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Kah-Moe De Neus

Title

Owner

Phone

(561) 921-0200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1073146569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CONGRESS AVE STE 414",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454640",
            "telephone_number": "561-921-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CONGRESS AVE STE 414",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454640",
            "telephone_number": "561-921-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMINCARE CHIROPRACTIC AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "DE NEUS",
        "authorized_official_first_name": "KAH-MOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-921-0200"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.