Organization Active NPI

Medamerica Rehab Center Inc.

  • Physical Therapy Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1154363331
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MEDAMERICA REHAB CENTER INC.
Practice address
3275 W Millsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9476
Phone
(954) 428-4707
Fax
(954) 698-9314
NPI assigned
Jun 12, 2006
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Arielle S Leavitt
Title
President
Phone
(954) 428-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3275 W Millsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9476

Mailing address

3275 W. Millsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9476
Phone (954) 428-4707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000032 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6800863671 Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Med America3 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

1265 S Military Trl
Ste 110
Deerfield Beach, FL 33442
Phone (954) 421-1839

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1154363331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W. MILLSBORO BLVD",
            "address_2": "SUITE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429476",
            "telephone_number": "954-428-4707",
            "fax_number": "954-698-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W MILLSBORO BLVD",
            "address_2": "SUITE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429476",
            "telephone_number": "954-428-4707",
            "fax_number": "954-698-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAMERICA REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-428-4707"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "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 6, 2013; 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.