Galt Ocean Rehab LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

GALT OCEAN REHAB LLC

Practice address

4001 N Ocean Dr Ste 305
Ft Lauderdale, FL 33308-5968

Phone

(844) 468-1345

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Adam Rudo

Title

Director of Billing Services

Phone

(844) 368-1345

Specialties & licenses 1

Addresses

Tax ID family

Galt Ocean Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Galt Ocean Rehab, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ft Lauderdale, FL
  • NPI 1922416106
  NPD tax ID

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1699129189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-383-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "844-468-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALT OCEAN REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "RUDO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "844-368-1345",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.