Active NPI
Empowerme Rehabilitation Florida, LLC
- Rehabilitation Clinic/Center
- Bradenton, FL
National Provider Identifier
1558033084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- EMPOWERME REHABILITATION FLORIDA, LLC
- Practice address
- 3503 14TH St W
Bradenton, FL 34205-6290 - Phone
- (844) 502-7996
- NPI assigned
- Oct 4, 2021
- 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
- John David Church
- Title
- Vice President of Fianance
- Phone
- (618) 972-5228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
3503 14TH St W
Bradenton, FL 34205-6290
Mailing address
PO Box 736005
Dallas, TX 75373-6005
Phone (844) 502-7996
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | CMS HIH |
National Provider Directory
National Provider DirectoryLocations
3927 Hadjes Dr
Lake Worth, FL 33467
Phone (561) 432-6072
701 N Maitland Ave
Maitland, FL 32751
Phone (407) 544-9230
7850 Hawkins Rd
Sarasota, FL 34241
11330 Countryway Blvd
Westchase, FL 33626
Phone (813) 536-4723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727827200000",
"number": "1558033084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 736005",
"city": "DALLAS",
"state": "TX",
"postal_code": "753736005",
"telephone_number": "844-502-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342056290",
"telephone_number": "844-502-7996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERME REHABILITATION FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-04",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "CHURCH",
"authorized_official_first_name": "JOHN DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT OF FIANANCE",
"authorized_official_telephone_number": "618-972-5228"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "CMS HIH",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "7500 Security Boulevard",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "21244",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bradenton, FL
- Michelle Suzanne Emery Pulsifer, DPM
- Concetta Angela Emmanuele, MSPT
- Lorraine Ann Emmer, LMHC
- Empower Women'S Wellness Solutions LLC
- Empowered Abilities Healthcare Solutions, LLC
- Heidi Emrani, M.D.
- Lance Enfinger, PHARMD
- James Christopher Ennis, OTR/L, CKTP
- Jerry Ennis Jr.
- Matthew Louis Ennis, A.T.,C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.