Professional Therapeutic Health Care Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

PROFESSIONAL THERAPEUTIC HEALTH CARE INC

Practice address

3618 Lantana Rd Ste 202
Lake Worth, FL 33462-2247

Phone

(561) 964-2526

Fax

(561) 964-7885

NPI assigned

Feb 1, 2007

Last updated

Oct 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Aleida V Dominguez

Title

President

Phone

(561) 964-2526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285772624. Details of each certification follow.

• CCN 684563 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 684563

Legal name

PROFESSIONAL THERAPEUTIC HEALTH CARE INC

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Jul 29, 2000

Last certification

Jan 13, 2020

Ownership / control type

Proprietary

Facility address

3618 Lantana Rd
Lake Worth, FL 33462

Locations

Practitioners 6

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.

• Janis Lynn Battat, PTA

  • Physical Therapy Assistant
  • Lake Worth, FL
  • NPI 1699493874
  NPD
• Yanely Caballero Luis

  • Occupational Therapy Assistant
  • Lake Worth, FL
  • NPI 1922734433
  NPD
• Yaite Mesa

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1841926755
  NPD
• Marjorie Bergiste-Raphael

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1235522590
  NPD (past)
• Martha Pabon, PHYSICAL THERAPY

  • Physical Therapist
  • Palm Springs, FL
  • NPI 1073997235
  NPD (past)
• Dora Marlene Soto

  • Occupational Therapist
  • Wellington, FL
  • NPI 1871054247
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1285772624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD STE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622247",
            "telephone_number": "561-964-2526",
            "fax_number": "561-964-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD STE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622247",
            "telephone_number": "561-964-2526",
            "fax_number": "561-964-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPEUTIC HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "ALEIDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-2526",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primecare at Home LLC
• Jessica Lee Prince, PTA
• Jasmine Printemps
• Alison Elizabeth Prinyavivatkul, M.S., CCC-SLP
• Priority Health Transportation
• Proficient NP LLC
• Progressive Pharmacy Inc
• Michel Ange Prophyl, FNP-BC
• PRP Home Health Group LLC
• PSHS Alpha Partners LLC (Lake Worth Surgical Center)

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.