Organization Active NPI

Joint Rejuvenation Center LLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Delray Beach, FL
National Provider Identifier
1487252235
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
Legal business name
JOINT REJUVENATION CENTER LLC
Practice address
15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251
Phone
(561) 498-1098
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
David Livingston, DCNPI 1285742825
Title
Administrator
Phone
(561) 498-1098

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081N0008X Primary

Addresses

Primary practice location

15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251

Mailing address

15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251
Phone (561) 498-1098

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL atc5@comcast.net

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1487252235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461251",
            "telephone_number": "561-498-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461251",
            "telephone_number": "561-498-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT REJUVENATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-498-1098",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "atc5@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Clinic email",
            "address_1": "15127 S Jog Rd Ste 210",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334461251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.