NPIMap

Organization Active NPI

Injury Treatment Center of Ft Pierce, LLC

  • Physical Medicine & Rehabilitation Physician
  • North Miami Beach, FL
National Provider Identifier
1457611998
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INJURY TREATMENT CENTER OF FT PIERCE, LLC
Practice address
1380 NE Miami Gardens Dr
Suite 138
North Miami Beach, FL 33179-4707
Phone
(561) 988-1022
Fax
(561) 988-0426
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mrs. Angela Hernandez
Title
Regional Manager
Phone
(561) 445-4613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr
Suite 138
North Miami Beach, FL 33179-4707

Mailing address

2295 NW Corporate Blvd
Suite 140
Boca Raton, FL 33431-7373
Phone (561) 988-1022

Other names 1

  • Choice Medical Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Injury Treatment Center of Ft Pierce LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1457611998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 NW CORPORATE BLVD",
            "address_2": "SUITE 140",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317373",
            "telephone_number": "561-988-1022",
            "fax_number": "561-988-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "SUITE 138",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "561-988-1022",
            "fax_number": "561-988-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY TREATMENT CENTER OF FT PIERCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "561-445-4613",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.