NPIMap

Organization Active NPI

Concentra

  • Health Service Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1306161666
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
PA2569 Issued in FL
Legal business name
CONCENTRA
Practice address
6301 NW 5TH Way
Suite 550
Ft Lauderdale, FL 33309-6131
Phone
(954) 731-9444
Fax
(954) 491-8787
NPI assigned
Mar 30, 2010
Last updated
Mar 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Mr. Henry A Locus, PA
Title
Physicians Assistant
Phone
(954) 731-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PA2569 FL Primary

Addresses

Primary practice location

6301 NW 5TH Way
Suite 550
Ft Lauderdale, FL 33309-6131

Mailing address

6301 NW 5TH Way
Suite 550
Ft Lauderdale, FL 33309-6131
Phone (954) 731-9444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1306161666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 NW 5TH WAY",
            "address_2": "SUITE 550",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096131",
            "telephone_number": "954-731-9444",
            "fax_number": "954-491-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NW 5TH WAY",
            "address_2": "SUITE 550",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096131",
            "telephone_number": "954-731-9444",
            "fax_number": "954-491-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "LOCUS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIANS ASSISTANT",
        "authorized_official_telephone_number": "954-731-9444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "PA2569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.