Palm Orthopedics and Rehabilitation, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PALM ORTHOPEDICS AND REHABILITATION, LLC

Practice address

5458 Town Center Road
Suite 104B
Boca Raton, FL 33486

Phone

(561) 961-5699

Fax

(561) 961-5899

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Frederick Vanderbrook, D.C.

Title

President

Phone

(561) 961-5699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1366786931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 104B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-961-5699",
            "fax_number": "561-961-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER ROAD",
            "address_2": "SUITE 104B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-961-5699",
            "fax_number": "561-961-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM ORTHOPEDICS AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "VANDERBROOK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-961-5699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Therapy & Wellness, LLC
• Palm Beach Therapy Center, LLC
• Palm Beach Therapy Inc.
• Palm Behavioral Services Inc
• Palm Behavioral Services Inc
• Palmbeach Psychotherapy LLC
• Kevin Koloseus Palmer, D.P.M.
• Lisa C Palmer, PHD, LMFT, CHT
• Jaret Palmira
• Daiane Palmquist

• Multi-Specialty Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.