Active NPI
C & G Rehab Serv Corp
- Physical Therapy Clinic/Center
- Medley, FL
National Provider Identifier
1700944873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 686706
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 686706 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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.