Active NPI
East Coast Physical Therapy & Wellness Center
- Physical Therapy Clinic/Center
- Deerfield Beach, FL
National Provider Identifier
1114220530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- EAST COAST PHYSICAL THERAPY & WELLNESS CENTER
- Practice address
- 1500 E Hillsboro Blvd
205
Deerfield Beach, FL 33441-4355 - Phone
- (954) 429-0260
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Jean Haughie, DPT
- Title
- Owner/Director
- Phone
- (954) 429-0260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1500 E Hillsboro Blvd
205
Deerfield Beach, FL 33441-4355
Mailing address
1500 E Hillsboro Blvd
205
Deerfield Beach, FL 33441-4355
Phone (954) 429-0260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1500 E Hillsboro Blvd
Ste 205
Deerfield Beach, FL 33441
Phone (954) 429-0260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Deerfield Beach, FL
- NPI 1386774792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1114220530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E HILLSBORO BLVD",
"address_2": "205",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334414355",
"telephone_number": "954-429-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E HILLSBORO BLVD",
"address_2": "205",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334414355",
"telephone_number": "954-429-0260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COAST PHYSICAL THERAPY & WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "HAUGHIE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "954-429-0260",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.