Organization Active NPI

Boynton Beach Pain & Rehabilitation Inc

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1205882131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8820 Issued in FL
Legal business name
BOYNTON BEACH PAIN & REHABILITATION INC
Practice address
3459 W Woolbright Rd
Boynton Beach, FL 33436-7246
Phone
(561) 732-0033
Fax
(561) 737-4285
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Danny Feder, DC
Title
President
Phone
(305) 466-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8820 FL Primary

Addresses

Primary practice location

3459 W Woolbright Rd
Boynton Beach, FL 33436-7246

Mailing address

1814 NE Miami Gardens Dr
#406
North Miami Beach, FL 33179-5043
Phone (305) 466-5665

National Provider Directory

National Provider Directory

Locations

1814 NE Miami Gardens Dr
#406
North Miami Beach, FL 33179

Practitioners & affiliated clinicians

Practitioners 2

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205882131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 NE MIAMI GARDENS DR",
            "address_2": "#406",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795043",
            "telephone_number": "305-466-5665",
            "fax_number": "305-466-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367246",
            "telephone_number": "561-732-0033",
            "fax_number": "561-737-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON BEACH PAIN & REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-466-5665",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.