Organization Active NPI

Breaking Ground Landscape Design, Inc.

  • Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1679616510
Registry record updated Aug 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 19, 2007

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)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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. 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": "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.

Verify at the official NPI Registry.