Organization Active NPI

Spinal Health Performance, Inc.

Doing business as SHP Rehab & Wellness Center

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1245414812
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINAL HEALTH PERFORMANCE, INC.
Doing business as
SHP Rehab & Wellness Center
Practice address
603 Village Blvd Ste 303
West Palm Beach, FL 33409-1973
Phone
(561) 684-9200
Fax
(561) 684-9202
NPI assigned
Dec 19, 2007
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. R. Kevin O'Brien, DC
Title
Chiropractor
Phone
(561) 684-9200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7447 FL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

603 Village Blvd Ste 303
West Palm Beach, FL 33409-1973

Mailing address

603 Village Blvd Ste 303
West Palm Beach, FL 33409-1973
Phone (561) 684-9200

Other names 1

  • SHP REHAB & WELLNESS CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130225000381 FL Part B Supplier - Clinic/Group Practice 1658526611 Receives reassigned benefits from 5 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

603 Village Blvd
Ste 303
West Palm Beach, FL 33409
Phone (561) 684-9200

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1245414812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 VILLAGE BLVD STE 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091973",
            "telephone_number": "561-684-9200",
            "fax_number": "561-684-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 VILLAGE BLVD STE 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091973",
            "telephone_number": "561-684-9200",
            "fax_number": "561-684-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HEALTH PERFORMANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "561-684-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7447",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHP REHAB & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.

Verify at the official NPI Registry.