NPIMap

Organization Active NPI

Physiocare Inc

  • Physical Therapy Clinic/Center
  • Jupiter, FL
National Provider Identifier
1396753026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOCARE INC
Practice address
125 W Indiantown Rd Ste 104
Jupiter, FL 33458-3539
Phone
(561) 745-8909
Fax
(561) 748-7199
NPI assigned
Aug 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Eduardo J Rodriguez
Title
President
Phone
(561) 745-8909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

125 W Indiantown Rd Ste 104
Jupiter, FL 33458-3539

Mailing address

125 W Indiantown Rd Ste 104
Jupiter, FL 33458-3539
Phone (561) 745-8909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000744 FL Part B Supplier - Clinic/Group Practice 1254230105 Receives reassigned benefits from 2 practitioners
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

125 W Indiantown Rd
Ste 104
Jupiter, FL 33458
Phone (561) 745-8909

175 Toney Penna Dr
Ste 100
Jupiter, FL 33458
Phone (561) 745-8909

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396753026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD STE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583539",
            "telephone_number": "561-745-8909",
            "fax_number": "561-748-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD STE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583539",
            "telephone_number": "561-745-8909",
            "fax_number": "561-748-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-745-8909"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.