Organization Active NPI

Regional Physiotherapy Centre, Inc.

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1396792479
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REGIONAL PHYSIOTHERAPY CENTRE, INC.
Practice address
901 North Flagler Drive
Suite 1
West Palm Beach, FL 33401
Phone
(561) 833-2244
Fax
(561) 833-2281
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Mr. David Light, PT
Title
President
Phone
(561) 833-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

901 North Flagler Drive
Suite 1
West Palm Beach, FL 33401

Mailing address

901 North Flagler Drive
Suite 1
West Palm Beach, FL 33401
Phone (561) 833-2244

Other identifiers 3

IdentifierTypeStateIssuer
00000606815 01OtherFLUNITED HEALTHCARE
5663296OtherFLAETNA
Y913POtherFLBCBS OF FLORIDA

National Provider Directory

National Provider Directory

Locations

313 10th St
West Palm Beach, FL 33401
Phone (561) 833-2244

5601 Okeechobee Blvd
Ste B
West Palm Beach, FL 33417
Phone (561) 202-6488

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1396792479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORTH FLAGLER DRIVE",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-833-2244",
            "fax_number": "561-833-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORTH FLAGLER DRIVE",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-833-2244",
            "fax_number": "561-833-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PHYSIOTHERAPY CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-833-2244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00000606815 01",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5663296",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y913P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.