Organization Active NPI

Vestbular Rehabilitation and Dizziness Center Inc

  • Neurology Physical Therapist
  • Wellington, FL
National Provider Identifier
1194069773
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT8467 Issued in FL
Legal business name
VESTBULAR REHABILITATION AND DIZZINESS CENTER INC
Practice address
2515 S State Road 7
Suite 210
Wellington, FL 33414-9334
Phone
(561) 236-4523
Fax
(561) 642-8210
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Rueben Pozo, P.T. MSHSA
Title
President
Phone
(561) 236-4523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251N0400X PT8467 FL Primary

Addresses

Primary practice location

2515 S State Road 7
Suite 210
Wellington, FL 33414-9334

Mailing address

6508 Blue Bay Cir
Lake Worth, FL 33467-7219
Phone (561) 236-4523

Other identifiers 1

IdentifierTypeStateIssuer
12449295OtherFLCAQH

National Provider Directory

National Provider Directory

Locations

2515 S State Road 7
Ste 210
Wellington, FL 33414
Phone (561) 790-4550

Practitioners & affiliated clinicians

Practitioners 3

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": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1194069773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 BLUE BAY CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677219",
            "telephone_number": "561-236-4523",
            "fax_number": "561-436-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 S STATE ROAD 7",
            "address_2": "SUITE 210",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149334",
            "telephone_number": "561-236-4523",
            "fax_number": "561-642-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTBULAR REHABILITATION AND DIZZINESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "POZO",
        "authorized_official_first_name": "RUEBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-236-4523",
        "authorized_official_credential": "P.T. MSHSA"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT8467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12449295",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.