Active NPI
Ageless Body Clinic, LLC
- Family Medicine Physician
- Hallandale Beach, FL
National Provider Identifier
1245798461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AGELESS BODY CLINIC, LLC
- Practice address
- 2500 E Hallandale Beach Blvd Ste 406
Hallandale Beach, FL 33009-4837 - Phone
- (954) 990-0302
- Fax
- (954) 908-7101
- NPI assigned
- Mar 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Inna S Trakhtenberg, DC
- Title
- Ceo - Chiropractor
- Phone
- (954) 990-0302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
2500 E Hallandale Beach Blvd Ste 406
Hallandale Beach, FL 33009-4837
Mailing address
2500 E Hallandale Beach Blvd Ste 406
Hallandale Beach, FL 33009-4837
Phone (954) 990-0302
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hallandale Beach, FL
- NPI 1851430102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1245798461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BEACH BLVD STE 406",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094837",
"telephone_number": "954-990-0302",
"fax_number": "954-908-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BEACH BLVD STE 406",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094837",
"telephone_number": "954-990-0302",
"fax_number": "954-908-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGELESS BODY CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-06",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "TRAKHTENBERG",
"authorized_official_first_name": "INNA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO - CHIROPRACTOR",
"authorized_official_telephone_number": "954-990-0302",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.