Organization Active NPI

Palm Beach Physical Medicine and Rehabilitation,LLC

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1316651276
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALM BEACH PHYSICAL MEDICINE AND REHABILITATION,LLC
Practice address
443 NW Prima Vista Blvd Ste 106
Port St Lucie, FL 34983-8731
Phone
(561) 530-4655
NPI assigned
Jan 5, 2023
Organization subpart
Yes
Parent organization
PALM BEACH PHYSICAL MEDICINE AND REHABILITATION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Josh Bello, DCNPI 1649494154
Title
Owner/Doctor
Phone
(561) 408-3836

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

443 NW Prima Vista Blvd Ste 106
Port St Lucie, FL 34983-8731

Mailing address

443 NW Prima Vista Blvd Ste 106
Port St Lucie, FL 34983-8731

Other names 1

  • Treasure Coast Physical Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Palm Beach Physical Medicine and Rehabilitation LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1316651276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NW PRIMA VISTA BLVD STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NW PRIMA VISTA BLVD STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "561-530-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PHYSICAL MEDICINE AND REHABILITATION,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALM BEACH PHYSICAL MEDICINE AND REHABILITATION, LLC",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "561-408-3836",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Coast Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.