Organization Active NPI

GTD Medical & Rehabilitation Center, Inc

  • Acupuncturist
  • West Palm Beach, FL
National Provider Identifier
1245774322
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2293 Issued in FL
Legal business name
GTD MEDICAL & REHABILITATION CENTER, INC
Practice address
1195 N Military TRL Ste 5B
West Palm Beach, FL 33409-6058
Phone
(561) 557-2138
NPI assigned
Dec 8, 2016
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Dr. Kesnel Theus, D,O,M
Title
V President
Phone
(561) 557-2138

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2382 FL
Acupuncturist 171100000X 2293 FL Primary
General Practice Physician 208D00000X ME43064 FL

Addresses

Primary practice location

1195 N Military TRL Ste 5B
West Palm Beach, FL 33409-6058

Mailing address

1195 N Military TRL Ste 5B
West Palm Beach, FL 33409-6058
Phone (561) 557-2138

National Provider Directory

National Provider Directory

Locations

1195 N Military Trl
Ste 5B
West Palm Beach, FL 33409
Phone (561) 557-2138

Practitioners & affiliated clinicians

Practitioners 1

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": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1245774322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 N MILITARY TRL STE 5B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096058",
            "telephone_number": "561-557-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 N MILITARY TRL STE 5B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096058",
            "telephone_number": "561-557-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GTD MEDICAL & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "THEUS",
        "authorized_official_first_name": "KESNEL",
        "authorized_official_title_or_position": "V PRESIDENT",
        "authorized_official_telephone_number": "561-557-2138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,O,M"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "2382",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "2293",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME43064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 2016; 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.