Pelvicore Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT28158 Issued in FL

Legal business name

PELVICORE REHAB

Doing business as

Pelvicore REhab
pelvicore

Practice address

7376 Wexford Ter
Boca Raton, FL 33433-4158

Phone

(201) 704-4411

Fax

(561) 409-4972

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Susan Winograd, PTNPI 1891039038

Title

PT

Phone

(561) 295-1631

Specialties & licenses 1

Addresses

Other names 2

• Pelvicore REhab Doing business as
• pelvicore Doing business as

Practitioners 2

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

• Susan Winograd

  • Physical Therapist
  • West Orange, NJ
  • NPI 1891039038
  NPD (past) Authorized official
• Miriam Klein

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1891963443
  NPD (past)

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1164937173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 WEXFORD TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334158",
            "telephone_number": "201-704-4411",
            "fax_number": "561-409-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 WEXFORD TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334158",
            "telephone_number": "201-704-4411",
            "fax_number": "561-409-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVICORE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WINOGRAD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "561-295-1631",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT28158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelvicore REhab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "pelvicore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Peebles
• Brenda Peete
• Pegasus Medical Supply LLC
• Isiumy Pelaez Vera, SA-C
• Michaelanne Roberts Pelleya, CCC/SLP
• Alyssa M Pena
• Erica Denise Pena, ARNP
• Gabriela Pena
• Heidy Victoria Pena, RN, IBCLC
• Santiago Pena, PA-C

• Physical Therapy Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.