Organization Active NPI

Royal Palm Beach Medical Inc

  • Chiropractor
  • Royal Palm Beach, FL
National Provider Identifier
1659461887
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROYAL PALM BEACH MEDICAL INC
Doing business as
Physical Therapy Institute of South Florida
Practice address
106 Ponce de Leon Street
Royal Palm Beach, FL 33411-1213
Phone
(561) 791-9090
Fax
(561) 791-9071
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Mr. John Papa, DC
Title
Owner President
Phone
(561) 801-2535

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

106 Ponce de Leon Street
Royal Palm Beach, FL 33411-1213

Mailing address

106 Ponce de Leon Street
Royal Palm Beach, FL 33411-1213
Phone (561) 791-9090

Other identifiers 1

IdentifierTypeStateIssuer
381729600MedicaidFL

Other names 1

  • Physical Therapy Institute of South Florida Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1659461887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PONCE DE LEON STREET",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111213",
            "telephone_number": "561-791-9090",
            "fax_number": "561-791-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PONCE DE LEON STREET",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111213",
            "telephone_number": "561-791-9090",
            "fax_number": "561-791-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM BEACH MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "561-801-2535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381729600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Institute of South Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.