Platinum Rehabilitation, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PLATINUM REHABILITATION, INC

Practice address

110 Century Blvd
West Palm Beach, FL 33417-2262

Phone

(561) 697-3131

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bradford Russell Estra

Title

President

Phone

(561) 697-3131

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Blumberg, DO

  • Adult Medicine Physician
  • Deerfield Beach, FL
  • NPI 1801898366
  NPD (past)
• Ebrahim Hoosien, MD

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1770522112
  NPD (past)
• Janice Carol Imhoff, NP

  • Nurse Practitioner
  • Wellington, FL
  • NPI 1043261670
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073558797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CENTURY BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172262",
            "telephone_number": "561-697-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CENTURY BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172262",
            "telephone_number": "561-697-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTRA",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-697-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linett Plasencia Puig
• Lisbet Plasencia Puig
• Plastic Surgery Center, LLC
• Plastic Surgery of Palm Beach
• Trisha Marie Plastini, DO
• Faith N Platts
• Play and Progress Behavioral Corp
• Nicole Renee Playton, LMFT
• Peter Plaza, DC
• Steven Pliskow Sr., MD

• Exclusive Provider Organization in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.