Organization Active NPI

MDR Rehab, Inc.

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1245457910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MDR REHAB, INC.
Practice address
4760 W Atlantic Ave
Delray Beach, FL 33445-3839
Phone
(561) 638-1078
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Rich H Hoffman
Title
Vice President
Phone
(561) 312-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4760 W Atlantic Ave
Delray Beach, FL 33445-3839

Mailing address

4760 W Atlantic Ave
Delray Beach, FL 33445-3839
Phone (561) 638-1078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040511001486 FL Part B Supplier - Clinic/Group Practice 2860481009 Receives reassigned benefits from 10 practitioners
Practice locations: Boynton Beach, FL; Delray Beach, FL; Boca Raton, FL
O20121026000286 FL DME Supplier - Independently-Practicing Physical Therapist 2860481009 Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

9275 Lake Royal Rd
Boynton Beach, FL 33473
Phone (561) 639-1078

4760 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 637-3933

601 N Congress Ave
Ste 411
Delray Beach, FL 33445
Phone (561) 638-1078

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245457910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453839",
            "telephone_number": "561-638-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453839",
            "telephone_number": "561-638-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDR REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RICH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-312-1120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray 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.
  • 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.