Organization Active NPI

Forward Rehabilitation of Palm Beach, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Delray Beach, FL
National Provider Identifier
1104842079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
FORWARD REHABILITATION OF PALM BEACH, INC.
Practice address
4733 W Atlantic Ave
Suite C14
Delray Beach, FL 33445-3706
Phone
(888) 381-4340
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark B Delvaux
Title
President
Phone
(888) 381-4340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X FL Primary

Addresses

Primary practice location

4733 W Atlantic Ave
Suite C14
Delray Beach, FL 33445-3706

Mailing address

4733 W Atlantic Ave
Suite C14
Delray Beach, FL 33445-3706
Phone (888) 381-4340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104842079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 W ATLANTIC AVE",
            "address_2": "SUITE C14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453706",
            "telephone_number": "888-381-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 W ATLANTIC AVE",
            "address_2": "SUITE C14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453706",
            "telephone_number": "888-381-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD REHABILITATION OF PALM BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELVAUX",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-381-4340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": null,
            "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 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.