Organization Active NPI

Ultra Medical and Rehab Inc.

  • Ph.D. Medical Genetics
  • Hollywood, FL
National Provider Identifier
1659329647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
ME20376 Issued in FL
Legal business name
ULTRA MEDICAL AND REHAB INC.
Practice address
6363 Taft Street
Suite 315
Hollywood, FL 33024
Phone
(786) 554-8616
Fax
(954) 987-1355
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Yvonne Joy Phillips
Title
President
Phone
(786) 554-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X ME20376 FL Primary

Addresses

Primary practice location

6363 Taft Street
Suite 315
Hollywood, FL 33024

Mailing address

6363 Taft Street
Suite 315
Hollywood, FL 33024
Phone (786) 554-8616

National Provider Directory

National Provider Directory

Locations

6363 Taft St
Ste 315
Hollywood, FL 33024
Phone (786) 554-8616

6565 Taft St
Ste 401
Hollywood, FL 33024
Phone (954) 322-8485

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659329647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 TAFT STREET",
            "address_2": "SUITE 315",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "786-554-8616",
            "fax_number": "954-987-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 TAFT STREET",
            "address_2": "SUITE 315",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "786-554-8616",
            "fax_number": "954-987-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL AND REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-554-8616",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "ME20376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.