NPIMap

Organization Active NPI

Joel D Stein, D.O., P.a

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1124218037
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
OS0004707 Issued in FL
Legal business name
JOEL D STEIN, D.O., P.A
Practice address
4109 N Federal Hwy
Fort Lauderdale, FL 33308-5530
Phone
(954) 563-2707
Fax
(954) 563-7009
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Mr. Rick P Wetherington, CMBM
Title
Administrator
Phone
(954) 540-1031

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 601878 FL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 601878 FL
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X OS0004707 FL Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 601878 FL

Addresses

Primary practice location

4109 N Federal Hwy
Fort Lauderdale, FL 33308-5530

Mailing address

4109 N Federal Hwy
Fort Lauderdale, FL 33308-5530
Phone (954) 563-2707

Other practice location 1

16244 S Military Trl Ste 450
Delray Beach, FL 33484-6505
Phone (561) 495-4215

Other practice location 2

4651 Sheridan St Ste 320
Hollywood, FL 33021-3427
Phone (954) 985-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050603000603 FL Part B Supplier - Clinic/Group Practice 6709829427 Receives reassigned benefits from 11 practitioners
Practice locations: Delray Beach, FL; Ft Lauderdale, FL; Hollywood, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

16244 S Military Trl
Ste 450
Delray Beach, FL 33484
Phone (248) 321-6612

4651 Sheridan St
Ste 320
Hollywood, FL 33021
Phone (954) 549-3446

4109 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 396-8998

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1124218037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085530",
            "telephone_number": "954-563-2707",
            "fax_number": "954-563-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085530",
            "telephone_number": "954-563-2707",
            "fax_number": "954-563-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16244 S Military Trl Ste 450",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846505",
            "country_code": "US",
            "telephone_number": "561-495-4215",
            "fax_number": "954-563-7009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4651 Sheridan St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213427",
            "country_code": "US",
            "telephone_number": "954-985-3932",
            "fax_number": "954-563-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOEL D STEIN, D.O., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "WETHERINGTON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-540-1031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMBM"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "601878",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "601878",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "OS0004707",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "601878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.