LG Rehab Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC8099 Issued in FL

Legal business name

LG REHAB CENTER, INC

Practice address

28331 S Tamiami TRL
Bonita Springs, FL 34134-3215

Phone

(239) 498-0117

Fax

(239) 498-0142

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William J Brogna, CHIROPRACTOR

Title

Director

Phone

(239) 498-0117

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Scott Halajcsik, D.C.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1124204359
  NPD (past)

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1265751077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28331 S TAMIAMI TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343215",
            "telephone_number": "239-498-0117",
            "fax_number": "239-498-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28331 S TAMIAMI TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343215",
            "telephone_number": "239-498-0117",
            "fax_number": "239-498-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BROGNA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-498-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalymar Legrand Torres
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• Timothy Leung
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• Lee Raymond Light, M.D.
• Bee Lan Lim, A. P.
• Lipsie Chiropractic

• Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.