Organization Active NPI

Palm Beach Rehabilitation Services,Inc

  • Health Service Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1083912372
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AHCA HCC 10316 Issued in FL
Legal business name
PALM BEACH REHABILITATION SERVICES,INC
Practice address
1490 S Military TRL
Ste 6
West Palm Beach, FL 33415-9190
Phone
(561) 345-3192
NPI assigned
Mar 10, 2011
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Anyeley Mesa
Title
President
Phone
(561) 541-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AHCA HCC 10316 FL Primary

Addresses

Primary practice location

1490 S Military TRL
Ste 6
West Palm Beach, FL 33415-9190

Mailing address

1490 S Military TRL
Ste 6
West Palm Beach, FL 33415-9190
Phone (561) 345-3192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1083912372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 S MILITARY TRL",
            "address_2": "STE 6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159190",
            "telephone_number": "561-345-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 S MILITARY TRL",
            "address_2": "STE 6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159190",
            "telephone_number": "561-345-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH REHABILITATION SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "ANYELEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-541-5405"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AHCA HCC 10316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.