Organization Active NPI

Pal Sports Medicine, Inc.

Doing business as Jupiter Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Jupiter, FL
National Provider Identifier
1215903034
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PAL SPORTS MEDICINE, INC.
Doing business as
Jupiter Physical Therapy Center
Practice address
850 W Indiantown Rd
Jupiter, FL 33458
Phone
(561) 746-4112
Fax
(561) 575-6738
NPI assigned
Feb 23, 2006
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Ms. Alicia T Laine, MBA
Title
Administrator
Phone
(561) 746-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

850 W Indiantown Rd
Jupiter, FL 33458

Mailing address

850 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 746-4112

Other names 1

  • Jupiter Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

850 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 746-4112

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1215903034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-746-4112",
            "fax_number": "561-575-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-746-4112",
            "fax_number": "561-575-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-746-4112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jupiter Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.