Organization Active NPI

Spectracare Inc

  • Physical Therapy Clinic/Center
  • Ft Lauderdale, FL
National Provider Identifier
1508934225
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Oct 1, 2012

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121001000117 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9537318985 Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.