Active NPI
Homeside Rehab Florida LLC
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1164937413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30182
- Legal business name
- HOMESIDE REHAB FLORIDA LLC
- Practice address
- 7000 W Palmetto Park Rd Ste 210
Boca Raton, FL 33433-3430 - Phone
- (718) 377-5000
- Fax
- (718) 377-5002
- NPI assigned
- Dec 8, 2017
- Last updated
- Mar 30, 2022
- 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
- Dr. Yisroel Brody, DPT
- Title
- Physical Therapist
- Phone
- (718) 377-5000
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30182 | FL | Primary |
| Occupational Therapist | 225X00000X | OT18379 | FL |
Addresses
Primary practice location
7000 W Palmetto Park Rd Ste 210
Boca Raton, FL 33433-3430
Mailing address
7750 Lago del Mar Dr Apt 705
Boca Raton, FL 33433-4903
Phone (718) 377-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3846 Flatlands Ave
Brooklyn, NY 11234
Phone (561) 566-1116
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Occupational Therapist
- Winter Haven, FL
- NPI 1215495155
-
- Occupational Therapist
- Boca Raton, FL
- NPI 1447562160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1164937413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7750 LAGO DEL MAR DR APT 705",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334334903",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 210",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333430",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESIDE REHAB FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-08",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "BRODY",
"authorized_official_first_name": "YISROEL",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "718-377-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30182",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.