Palm Beach Physical Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9392 Issued in FL

Legal business name

PALM BEACH PHYSICAL MEDICINE

Practice address

3111 45TH St Ste 4
West Palm Beach, FL 33407-1981

Phone

(561) 530-4655

NPI assigned

Oct 28, 2010

Last updated

Nov 1, 2016By 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

Dr. Jonathan Grand, D.C.NPI 1558510818

Title

President

Phone

(561) 530-4655

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jonathan Grand, D.C

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1558510818
  Authorized official Same address or phone
• Ryan Alexandre Grand, D.C.

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1477788024
  NPD (past)

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1609176379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16836",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334166836",
            "telephone_number": "561-729-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 45TH ST STE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071981",
            "telephone_number": "561-530-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-530-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Pathology, PA (Good Samaritan Pathology Associates)
• Palm Beach Pediatric Dentistry and Orthodontics, PLLC
• Palm Beach Pediatric Speech
• Palm Beach Pediatrics, LLC (Bluebird Kids Health)
• Palm Beach Periodontics, P.C.
• Palm Beach Physical Therapy
• Palm Beach Physical Therapy
• Palm Beach Physicians Group Inc (Palm Beach Medical Group)
• Palm Beach Plastic Surgery Center LLC
• Palm Beach Plastic Surgery Institute, P.a (Palm Beach Plastic Surgery Institute)

• Chiropractor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.