Organization Active NPI

Rocket Orthotics & Supply Corp

  • Durable Medical Equipment & Medical Supplies
  • Hollywood, FL
National Provider Identifier
1538823703
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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)CodeLicenseStatePrimary
PedorthistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.