NPIMap

Organization Active NPI

Life Quality Rehabilitative Services Inc.

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1285794313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIFE QUALITY REHABILITATIVE SERVICES INC.
Practice address
7025 Beracasa Way
Suite #101
Boca Raton, FL 33433-3443
Phone
(561) 869-0867
Fax
(561) 869-0868
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane Siwek, PT
Title
Owner, President
Phone
(561) 869-0867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7025 Beracasa Way
Suite #101
Boca Raton, FL 33433-3443

Mailing address

7025 Beracasa Way
Suite #101
Boca Raton, FL 33433-3443
Phone (561) 869-0867

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285794313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 BERACASA WAY",
            "address_2": "SUITE #101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333443",
            "telephone_number": "561-869-0867",
            "fax_number": "561-869-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 BERACASA WAY",
            "address_2": "SUITE #101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333443",
            "telephone_number": "561-869-0867",
            "fax_number": "561-869-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUALITY REHABILITATIVE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIWEK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "561-869-0867",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.