NPIMap

Organization Active NPI

Pembroke Pines Therapy Center LLC

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1508092677
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9389 Issued in FL
Legal business name
PEMBROKE PINES THERAPY CENTER LLC
Practice address
7857 Pines Blvd
Pembroke Pines, FL 33024
Phone
(561) 627-2821
Fax
(561) 627-2821
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. Rafael Foss, D.C
Title
MM
Phone
(786) 370-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9389 FL Primary

Addresses

Primary practice location

7857 Pines Blvd
Pembroke Pines, FL 33024

Mailing address

P.O Box 6455
West Palm Beach, FL 33405
Phone (561) 429-5840

National Provider Directory

National Provider Directory

Locations

7857 Pines Blvd
Pembroke Pines, FL 33024
Phone (561) 627-2821

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1508092677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 6455",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33405",
            "telephone_number": "561-429-5840",
            "fax_number": "561-429-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7857 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "561-627-2821",
            "fax_number": "561-627-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE PINES THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MM",
        "authorized_official_telephone_number": "786-370-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.