Organization Active NPI

Physio Choice Inc

  • In Home Supportive Care Agency
  • Royal Palm Beach, FL
National Provider Identifier
1326350489
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
PT22907 Issued in FL
Legal business name
PHYSIO CHOICE INC
Practice address
104 Ibisca Ter
Royal Palm Beach, FL 33411-4321
Phone
(561) 718-7641
Fax
(561) 214-4584
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Mrs. Bolale Tairu-Caswell, P.T.NPI 1346399789
Title
Owner
Phone
(561) 718-7641

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
In Home Supportive Care Agency 253Z00000X PT22907 FL Primary

Addresses

Primary practice location

104 Ibisca Ter
Royal Palm Beach, FL 33411-4321

Mailing address

104 Ibisca Ter
Royal Palm Beach, FL 33411-4321
Phone (561) 718-7641

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1326350489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 IBISCA TER",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114321",
            "telephone_number": "561-718-7641",
            "fax_number": "561-214-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 IBISCA TER",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114321",
            "telephone_number": "561-718-7641",
            "fax_number": "561-214-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO CHOICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "TAIRU-CASWELL",
        "authorized_official_first_name": "BOLALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-718-7641",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "PT22907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.