NPIMap

Organization Active NPI

Back to Health Rehab Center Inc

  • Health Service Clinic/Center
  • Palm Springs, FL
National Provider Identifier
1356600068
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC9457 Issued in FL
Legal business name
BACK TO HEALTH REHAB CENTER INC
Practice address
3015 S Congress Ave
Suite 1
Palm Springs, FL 33461-2111
Phone
(561) 444-3490
Fax
(561) 444-3491
NPI assigned
May 15, 2012
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Yordany Martinez
Title
Owner
Phone
(561) 444-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC9457 FL Primary

Addresses

Primary practice location

3015 S Congress Ave
Suite 1
Palm Springs, FL 33461-2111

Mailing address

3015 S Congress Ave
Suite 1
Palm Springs, FL 33461-2111
Phone (561) 444-3490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1356600068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE",
            "address_2": "SUITE 1",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-444-3490",
            "fax_number": "561-444-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE",
            "address_2": "SUITE 1",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-444-3490",
            "fax_number": "561-444-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "YORDANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-444-3490"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC9457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.