Organization Active NPI

First Chiro Rehab Center Inc

  • Physical Therapy Clinic/Center
  • Lehigh Acres, FL
National Provider Identifier
1437426137
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
CH6781 Issued in FL
Legal business name
FIRST CHIRO REHAB CENTER INC
Practice address
3507 Lee Blvd Ste 207
Lehigh Acres, FL 33971-1303
Phone
(239) 674-9437
Fax
(239) 674-9524
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Octavio Michael Vidal, DC
Title
Presiden/Physician
Phone
(239) 674-9437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CH6781 FL Primary

Addresses

Primary practice location

3507 Lee Blvd Ste 207
Lehigh Acres, FL 33971-1303

Mailing address

3507 Lee Blvd Ste 207
Lehigh Acres, FL 33971-1303
Phone (239) 674-9437

National Provider Directory

National Provider Directory

Locations

3507 Lee Blvd
Ste 207
Lehigh Acres, FL 33971
Phone (239) 674-9437

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1437426137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 LEE BLVD STE 207",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711303",
            "telephone_number": "239-674-9437",
            "fax_number": "239-674-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 LEE BLVD STE 207",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711303",
            "telephone_number": "239-674-9437",
            "fax_number": "239-674-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHIRO REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDEN/PHYSICIAN",
        "authorized_official_telephone_number": "239-674-9437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "CH6781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.