Organization Active NPI

Gardens PT-OT Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1376824433
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME61878 Issued in FL
Legal business name
GARDENS PT-OT CENTER, LLC
Practice address
4383 Northlake Blvd
Suite 309
Palm Beach Gardens, FL 33410-6253
Phone
(561) 775-4900
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Farber Jeffrey, MD
Title
VP
Phone
(561) 775-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X ME61878 FL Primary

Addresses

Primary practice location

4383 Northlake Blvd
Suite 309
Palm Beach Gardens, FL 33410-6253

Mailing address

4383 Northlake Blvd
Suite 309
Palm Beach Gardens, FL 33410-6253
Phone (561) 775-4900

National Provider Directory

National Provider Directory

Locations

4383 Northlake Blvd
Ste 309
Palm Beach Gardens, FL 33410
Phone (561) 775-4900

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1376824433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 NORTHLAKE BLVD",
            "address_2": "SUITE 309",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106253",
            "telephone_number": "561-775-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 NORTHLAKE BLVD",
            "address_2": "SUITE 309",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106253",
            "telephone_number": "561-775-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS PT-OT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "FARBER",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "561-775-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME61878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.