Organization Active NPI

Health & Wellness Rehab Center

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1376585729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
HCC4628 Issued in FL
Legal business name
HEALTH & WELLNESS REHAB CENTER
Practice address
2407 10TH Ave N
Lake Worth, FL 33461-3128
Phone
(561) 439-8219
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel Madeus
Title
Clinical Coordinator
Phone
(561) 439-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X HCC4628 FL Primary

Addresses

Primary practice location

2407 10TH Ave N
Lake Worth, FL 33461-3128

Mailing address

2407 10TH Ave N
Lake Worth, FL 33461-3128
Phone (561) 439-8219

Other identifiers 1

IdentifierTypeStateIssuer
HCC4628OtherFLHEALTH CARE STANDARD

National Provider Directory

National Provider Directory

Locations

2407 10th Ave N
Lake Worth, FL 33461
Phone (321) 433-1110

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376585729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613128",
            "telephone_number": "561-439-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613128",
            "telephone_number": "561-439-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & WELLNESS REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADEUS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "561-439-8220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCC4628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE STANDARD",
            "identifier": "HCC4628",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.