Active NPI
Breaking Ground Landscape Design, Inc.
- Physical Therapist
- Coral Springs, FL
National Provider Identifier
1679616510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BREAKING GROUND LANDSCAPE DESIGN, INC.
- Practice address
- 10053 NW 47TH St
Coral Springs, FL 33076-2495 - Phone
- (954) 344-0733
- Fax
- (954) 341-8669
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Thomas Moran, EDD
- Title
- Owner, Ceo
- Phone
- (954) 344-0733
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Assistant | 225200000X | |||
| Massage Therapist | 225700000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
10053 NW 47TH St
Coral Springs, FL 33076-2495
Mailing address
10053 NW 47TH St
Coral Springs, FL 33076-2495
Phone (954) 344-0733
Other names 1
- Rehab Team Specialists, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187481600000",
"number": "1679616510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10053 NW 47TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762495",
"telephone_number": "954-344-0733",
"fax_number": "954-341-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10053 NW 47TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762495",
"telephone_number": "954-344-0733",
"fax_number": "954-341-8669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKING GROUND LANDSCAPE DESIGN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2007-08-19",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "954-344-0733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehab Team Specialists, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.