Elite Rehabilitation Service Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 4496 Issued in FL

Legal business name

ELITE REHABILITATION SERVICE CENTER

Practice address

2125 10TH Ave N
Lake Worth, FL 33461-3349

Phone

(561) 585-0040

Fax

(561) 585-0043

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Juan C Padilla Sr.

Title

Manager

Phone

(561) 585-0040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1174753214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 10TH AVE NORTH",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-585-0040",
            "fax_number": "561-585-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613349",
            "telephone_number": "561-585-0040",
            "fax_number": "561-585-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHABILITATION SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-585-0040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH  4496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Wayne Elam, MPT, CLT
• Julia Eldean
• Eldercare at Home, Inc.
• Amos Vladimir Elien Jr.
• Elite Healthcare Partners
• Ellen Babinsky DO PA
• Ellie PBC LLC
• Elmura Linguistics Enterprise .Inc
• Elvis Grandic MD PA
• Emerald Home Healthcare, Inc.

• Chiropractor in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.