Active NPI
Spectracare Inc
- Physical Therapy Clinic/Center
- Ft Lauderdale, FL
National Provider Identifier
1508934225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SPECTRACARE INC
- Practice address
- 4750 N Federal Hwy
Suite 100
Ft Lauderdale, FL 33308-4609 - Phone
- (954) 772-5431
- Fax
- (954) 771-5722
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Magda Sedra
- Title
- Admin
- Phone
- (954) 772-5431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4750 N Federal Hwy
Suite 100
Ft Lauderdale, FL 33308-4609
Mailing address
4750 N Federal Hwy
Suite 100
Ft Lauderdale, FL 33308-4609
Phone (954) 772-5431
Other names 1
- Same as above
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121001000117 | FL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9537318985 | Practice locations: Fort Lauderdale, FL |
National Provider Directory
National Provider DirectoryLocations
2500 E Commercial Blvd
Ste C
Ft Lauderdale, FL 33308
Phone (954) 771-9920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349049600000",
"number": "1508934225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 N FEDERAL HWY",
"address_2": "SUITE 100",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084609",
"telephone_number": "954-772-5431",
"fax_number": "954-771-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 N FEDERAL HWY",
"address_2": "SUITE 100",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084609",
"telephone_number": "954-772-5431",
"fax_number": "954-771-5722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRACARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2012-10-01",
"status": "A",
"authorized_official_last_name": "SEDRA",
"authorized_official_first_name": "MAGDA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "954-772-5431",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Same as above",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.