Active NPI
Coral Springs Physical Medicine, Inc.
- Physical Medicine & Rehabilitation Physician
- Coral Springs, FL
National Provider Identifier
1306256987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- CH9519
- Legal business name
- CORAL SPRINGS PHYSICAL MEDICINE, INC.
- Practice address
- 9720 W Sample Rd
Coral Springs, FL 33065-4004 - Phone
- (954) 752-7373
- Fax
- (954) 752-7351
- NPI assigned
- May 5, 2014
- Last updated
- Jun 13, 2014
- 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
- Aliyah Stotter
- Title
- Owner
- Phone
- (954) 752-7373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | CH9519 | FL | Primary |
Addresses
Primary practice location
9720 W Sample Rd
Coral Springs, FL 33065-4004
Mailing address
9858 Clint Moore Rd
C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Coral Springs, FL
- NPI 1346387958
-
- Chiropractor
- Coral Springs, FL
- NPI 1558675371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402617600000",
"number": "1306256987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9858 CLINT MOORE RD",
"address_2": "C111-274",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961034",
"telephone_number": "561-482-1144",
"fax_number": "561-482-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654004",
"telephone_number": "954-752-7373",
"fax_number": "954-752-7351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAL SPRINGS PHYSICAL MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-05",
"last_updated": "2014-06-13",
"status": "A",
"authorized_official_last_name": "STOTTER",
"authorized_official_first_name": "ALIYAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-752-7373"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "CH9519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
- Coral Springs Medical Group Inc.
- Coral Springs Modern Dentistry, PA
- Coral Springs Ophthalmology Associates PA (Coral Springs Eye Institute)
- Coral Springs Ophthalmology, PA
- Coral Springs Pediatric & Adult Psychiatry, Inc.
- Coral Springs Physical Therapy LLC
- Coral Springs Physician Associates Inc
- Coral Springs Physician Services, LLC
- Coral Springs Smiles PA
- Coral Springs Smiles, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.