NPIMap

Organization Active NPI

Beachway Therapy Treatment Center LLC

  • Physiological Laboratory
  • Delray Beach, FL
National Provider Identifier
1083950752
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
800026636 Issued in FL
Legal business name
BEACHWAY THERAPY TREATMENT CENTER LLC
Practice address
705 Bond Way Ste B
Delray Beach, FL 33483-5826
Phone
(561) 251-8582
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Ms. Olivia Marie Holmes
Title
Office Manager
Phone
(561) 251-8582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 800026636 FL Primary

Addresses

Primary practice location

705 Bond Way Ste B
Delray Beach, FL 33483-5826

Mailing address

705 Bond Way Ste B
Delray Beach, FL 33483-5826
Phone (561) 251-8582

National Provider Directory

National Provider Directory
Tax ID family
Beachway Therapy Treatment Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

705 Bond Way
Ste B
Delray Beach, FL 33483
Phone (561) 251-8582

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1083950752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BOND WAY STE B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835826",
            "telephone_number": "561-251-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOND WAY STE B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835826",
            "telephone_number": "561-251-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHWAY THERAPY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-251-8582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "800026636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.