Organization Active NPI

Blue Village Medical Center

  • Physical Therapy Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1639478555
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BLUE VILLAGE MEDICAL CENTER
Practice address
2669 Forest Hill Blvd Ste 211
West Palm Beach, FL 33406-5937
Phone
(561) 964-5754
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mr. Jose Alberto Ortiz
Title
President
Phone
(561) 964-5754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2669 Forest Hill Blvd Ste 211
West Palm Beach, FL 33406-5937

Mailing address

2669 Forest Hill Blvd Ste 211
West Palm Beach, FL 33406-5937

National Provider Directory

National Provider Directory

Locations

2669 Forest Hill Blvd
Ste 211
West Palm Beach, FL 33406
Phone (561) 964-5754

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1639478555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 FOREST HILL BLVD STE 211",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 FOREST HILL BLVD STE 211",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065937",
            "telephone_number": "561-964-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VILLAGE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-5754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.