Grace Home Rehab Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GRACE HOME REHAB SERVICES LLC

Practice address

2620 S University Dr Apt 307
Davie, FL 33328-1472

Phone

(732) 725-7040

NPI assigned

Apr 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Botros, DPT

Title

Owner

Phone

(732) 725-7040

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618099200000",
    "number": "1316527633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S UNIVERSITY DR APT 307",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S UNIVERSITY DR APT 307",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281472",
            "telephone_number": "732-725-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-725-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871130559",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "daniel.samir1@gmail.com",
            "affiliation": "N",
            "address_1": "2620 S University Dr Apt 307",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333281472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anton Samuel Gotlieb, DDS
• Karah Gottschalk, AU.D.
• Ange Gouraige
• Hassan Gowani
• Jose M Goyos, DO
• Alisa Gracheva, LMHC
• Kate Graen
• Aaliyah Graham
• Diana Graibe, PHARM.D
• Jennifer Graciela Granada

• Physical Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.