Organization Active NPI

C & G Rehab Serv Corp

  • Physical Therapy Clinic/Center
  • Medley, FL
National Provider Identifier
1700944873
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
686706 Issued in FL
Legal business name
C & G REHAB SERV CORP
Practice address
7911 NW 72ND Ave
Suite 118a
Medley, FL 33166-2227
Phone
(305) 863-6585
Fax
(305) 863-6583
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Arquimides Pupo
Title
President
Phone
(305) 863-6585

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 686706 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

7911 NW 72ND Ave
Suite 118a
Medley, FL 33166-2227

Mailing address

7911 NW 72ND Ave
Suite 118a
Medley, FL 33166-2227
Phone (305) 863-6585

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2008.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1700944873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "address_2": "SUITE 118A",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "305-863-6585",
            "fax_number": "305-863-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "address_2": "SUITE 118A",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "305-863-6585",
            "fax_number": "305-863-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & G REHAB SERV CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PUPO",
        "authorized_official_first_name": "ARQUIMIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-863-6585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "686706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.