Organization Active NPI

Concierge Rehab Inc

  • Physical Therapy Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1306445754
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CONCIERGE REHAB INC
Practice address
1045 E Heritage Club Cir
Delray Beach, FL 33483-3483
Phone
(508) 517-3813
NPI assigned
Oct 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Authorized official

Name
Philippe RenaudNPI 1053872374
Title
Ceo
Phone
(508) 517-3813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1045 E Heritage Club Cir
Delray Beach, FL 33483-3483

Mailing address

1045 E Heritage Club Cir
Delray Beach, FL 33483-3483
Phone (508) 517-3813

Other identifiers 1

IdentifierTypeStateIssuer
1053872374MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409001874 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658789714 Receives reassigned benefits from 2 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1306445754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E HERITAGE CLUB CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833483",
            "telephone_number": "508-517-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E HERITAGE CLUB CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833483",
            "telephone_number": "508-517-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "RENAUD",
        "authorized_official_first_name": "PHILIPPE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-517-3813"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053872374",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.

Verify at the official NPI Registry.