Organization Active NPI

GNC Therapies

  • Speech-Language Pathologist
  • Coconut Creek, FL
National Provider Identifier
1659697985
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GNC THERAPIES
Practice address
5489 Wiles Rd
Suite #304
Coconut Creek, FL 33073-4220
Phone
(954) 984-2701
Fax
(954) 984-1873
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mr. Octavio Lima
Title
Owner
Phone
(954) 548-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5489 Wiles Rd
Suite #304
Coconut Creek, FL 33073-4220

Mailing address

5489 Wiles Rd
Suite #304
Coconut Creek, FL 33073-4220
Phone (954) 984-2701

National Provider Directory

National Provider Directory

Locations

5489 Wiles Rd
Ste 304
Coconut Creek, FL 33073
Phone (954) 984-2701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1659697985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 WILES RD",
            "address_2": "SUITE #304",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734220",
            "telephone_number": "954-984-2701",
            "fax_number": "954-984-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 WILES RD",
            "address_2": "SUITE #304",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734220",
            "telephone_number": "954-984-2701",
            "fax_number": "954-984-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "LIMA",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-548-1159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.