Light Rehabilitation Center, Inc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

ME105283 Issued in FL

Legal business name

LIGHT REHABILITATION CENTER, INC

Practice address

3060 Jog Rd
Greenacres, FL 33467-2052

Phone

(561) 429-4176

NPI assigned

Jan 29, 2012

Last updated

Jan 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Rodriguez Muro

Title

President

Phone

(561) 429-4176

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1518239185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672052",
            "telephone_number": "561-429-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672052",
            "telephone_number": "561-429-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-29",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ MURO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-429-4176"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "FL",
            "license": "ME105283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME105283",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lewis, MA,MFT-INTERN
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• Rehabilitation Hospital Unit in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Rehabilitation Hospital Unit in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.