Organization Active NPI

Universal Rehab Med Group, Inc.

  • Physical Therapy Clinic/Center
  • Palm Springs, FL
National Provider Identifier
1700028610
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UNIVERSAL REHAB MED GROUP, INC.
Practice address
2925 10TH Ave N Ste 201C
Palm Springs, FL 33461-3046
Phone
(561) 966-9957
Fax
(561) 966-9958
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Lazaro Rodriguez, D.C.
Title
President
Phone
(561) 966-9957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2925 10TH Ave N Ste 201C
Palm Springs, FL 33461-3046

Mailing address

2925 10TH Ave N Ste 201C
Palm Springs, FL 33461-3046
Phone (561) 966-9957

Other identifiers 1

IdentifierTypeStateIssuer
261QP2000XOtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1700028610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N STE 201C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613046",
            "telephone_number": "561-966-9957",
            "fax_number": "561-966-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N STE 201C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613046",
            "telephone_number": "561-966-9957",
            "fax_number": "561-966-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHAB MED GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-966-9957",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "261QP2000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.