NPIMap

Organization Active NPI

Redcon1 Recovery LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Boca Raton, FL
National Provider Identifier
1396319612
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
REDCON1 RECOVERY LLC
Practice address
990 S Rogers Cir Ste 7
Boca Raton, FL 33487-2836
Phone
(407) 572-0313
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Eric Otero, DPTNPI 1609173053
Title
Director of Operations
Phone
(407) 922-7622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X NU
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X NU Primary
Massage Therapist 225700000X NU
Physician Assistant 363A00000X NU

Addresses

Primary practice location

990 S Rogers Cir Ste 7
Boca Raton, FL 33487-2836

Mailing address

990 S Rogers Cir Ste 7
Boca Raton, FL 33487-2836
Phone (407) 572-0313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pinnaclemp.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1396319612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S ROGERS CIR STE 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872836",
            "telephone_number": "407-572-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S ROGERS CIR STE 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872836",
            "telephone_number": "407-572-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDCON1 RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "407-922-7622",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pinnaclemp.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "990 S Rogers Cir Ste 7",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334872836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.