Active NPI
Gardens PT-OT Center, LLC
- Physical Medicine & Rehabilitation Physician
- Palm Beach Gardens, FL
National Provider Identifier
1376824433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME61878
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.