Organization Active NPI

Alternative Rehab & Wellness Center LLC

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1639505910
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28186 Issued in FL
Legal business name
ALTERNATIVE REHAB & WELLNESS CENTER LLC
Practice address
16244 S Military TRL
Suite 750
Delray Beach, FL 33484-6534
Phone
(561) 265-5251
Fax
(561) 450-6716
NPI assigned
Sep 18, 2013
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Mr. Ronnie Bargayo, PHYSICAL THERAPISTNPI 1669744017
Title
Director of Serivces
Phone
(561) 265-5251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28186 FL Primary

Addresses

Primary practice location

16244 S Military TRL
Suite 750
Delray Beach, FL 33484-6534

Mailing address

16244 S Military TRL
Suite 750
Delray Beach, FL 33484-6534
Phone (561) 265-5251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639505910. Details of each certification follow.

  • CCN 686976 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 686976

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DYNAMIC REHAB SERVICES LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jun 16, 2020
Last certification
Nov 6, 2023
Ownership / control type
Proprietary
Facility address
16244 S Military TRL, Ste 290
Delray Beach, FL 33484

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": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1639505910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "SUITE 750",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-265-5251",
            "fax_number": "561-450-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "SUITE 750",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-265-5251",
            "fax_number": "561-450-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE REHAB & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "BARGAYO",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "DIRECTOR OF SERIVCES",
        "authorized_official_telephone_number": "561-265-5251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.