Active NPI
Rocket Orthotics & Supply Corp
- Durable Medical Equipment & Medical Supplies
- Hollywood, FL
National Provider Identifier
1538823703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ROCKET ORTHOTICS & SUPPLY CORP
- Practice address
- 1926 Hollywood Blvd # 304-128
Hollywood, FL 33020-4532 - Phone
- (561) 247-5577
- NPI assigned
- Oct 25, 2021
- Last updated
- Sep 29, 2023
- 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
- Rezilta Rehabilitation Services
- Title
- Registered Agent
- Phone
- (786) 233-9283
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1926 Hollywood Blvd # 304-128
Hollywood, FL 33020-4532
Mailing address
1926 Hollywood Blvd # 304-128
Hollywood, FL 33020-4532
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Richmond, VA
- NPI 1922475029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1538823703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 HOLLYWOOD BLVD # 304-128",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 HOLLYWOOD BLVD # 304-128",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204532",
"telephone_number": "561-247-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKET ORTHOTICS & SUPPLY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-25",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "REHABILITATION SERVICES",
"authorized_official_first_name": "REZILTA",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "786-233-9283"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
- Amparo R Robles, NURSE PRACTITIONER
- Miguel Rondinel Robles, MD, MPH
- Armando Roca Jr., D.O.
- Nicole M Rochet, M.D.
- Rebecca Marie Rochford Buckley, APRN, PMHNP-BC
- Sherri Rockower, O.D., M.S. PA
- Rodolfo Dumenigo MD PA (Clinical Care Medical Centers)
- Yara Rodrigues Scotland
- Carlos Jose Rodriguez Benitez
- Nicole Rodriguez Casas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.