Organization Active NPI

Palm

  • Rehabilitation Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1255698577
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH6537 Issued in FL
Legal business name
PALM
Practice address
2800 N Military TRL Ste 104
West Palm Beach, FL 33409-2950
Phone
(561) 683-6919
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Claire Balladares
Title
Secretary
Phone
(561) 683-6919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH6537 FL Primary

Addresses

Primary practice location

2800 N Military TRL Ste 104
West Palm Beach, FL 33409-2950

Mailing address

2800 N Military TRL Ste 104
West Palm Beach, FL 33409-2950

National Provider Directory

National Provider Directory
Tax ID family
Palm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1255698577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N MILITARY TRL STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N MILITARY TRL STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092950",
            "telephone_number": "561-683-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "BALLADARES",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "561-683-6919"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH6537",
            "primary": true
        }
    ],
    "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 Apr 12, 2012; 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.