Organization Active NPI

Rehab & Therapy Inc

  • Physical Therapist
  • Deerfield Beach, FL
National Provider Identifier
1558312843
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19852 Issued in FL
Legal business name
REHAB & THERAPY INC
Practice address
1886 W Hillsboro Blvd
Deerfield Beach, FL 33442-1417
Phone
(954) 427-6606
Fax
(954) 427-9981
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Mrs. Jennifer H Forman, MSPT
Title
President
Phone
(561) 912-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT19852 FL Primary

Addresses

Primary practice location

1886 W Hillsboro Blvd
Deerfield Beach, FL 33442-1417

Mailing address

6860 NW 73Rd St
Parkland, FL 33067-3916
Phone (561) 912-9580

Other identifiers 1

IdentifierTypeStateIssuer
Y917SOtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1558312843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 NW 73RD ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673916",
            "telephone_number": "561-912-9580",
            "fax_number": "561-912-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421417",
            "telephone_number": "954-427-6606",
            "fax_number": "954-427-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB & THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-912-9580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y917S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.