Active NPI
Palm Rehabilitation Center, Inc.
- Physical Therapist
- Hollywood, FL
National Provider Identifier
1295897536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- HCC4519
- Legal business name
- PALM REHABILITATION CENTER, INC.
- Practice address
- 9900 Stirling Rd Ste 303
Hollywood, FL 33024-8066 - Phone
- (954) 432-8872
- Fax
- (954) 432-9913
- NPI assigned
- Dec 14, 2006
- 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
- Mr. Kenneth Berg
- Title
- President
- Phone
- (954) 748-7474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | HCC4519 | FL | Primary |
Addresses
Primary practice location
9900 Stirling Rd Ste 303
Hollywood, FL 33024-8066
Mailing address
9900 Stirling Rd Ste 303
Hollywood, FL 33024-8066
Phone (954) 432-8872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2500 E Hallandale Beach Blvd
Ste 210
Hallandale Beach, FL 33009
Phone (954) 458-2202
9900 Stirling Rd
Ste 303
Hollywood, FL 33024
Phone (954) 432-8872
100 N State Road 7
Ste 302
Margate, FL 33063
Phone (754) 307-3959
4469 S Congress Ave
Ste 115
Palm Springs, FL 33461
Phone (561) 223-2622
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Hollywood, FL
- NPI 1255940888
-
- Physical Therapist
- Cooper City, FL
- NPI 1306570445
-
- Physical Therapist
- Hollywood, FL
- NPI 1023817632
-
- Physical Therapist
- Miami, FL
- NPI 1376896498
-
- Physical Therapist
- Miami, FL
- NPI 1386760403
-
- Physical Therapist
- Weston, FL
- NPI 1750452850
-
- Massage Therapist
- Pembroke Pines, FL
- NPI 1407069867
-
- Physical Therapist
- Mequon, WI
- NPI 1437180288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1295897536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 STIRLING RD STE 303",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330248066",
"telephone_number": "954-432-8872",
"fax_number": "954-432-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 STIRLING RD STE 303",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330248066",
"telephone_number": "954-432-8872",
"fax_number": "954-432-9913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM REHABILITATION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-748-7474",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "HCC4519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.