Three Brothers Rehab, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR14713 Issued in FL

Legal business name

THREE BROTHERS REHAB, INC

Practice address

1074 NW 13TH St
Unit 171C
Boca Raton, FL 33486-2284

Phone

(954) 821-0931

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Jia Yu, OTR

Title

President

Phone

(954) 821-0931

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1710318050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 NW 13TH ST",
            "address_2": "UNIT 171C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862284",
            "telephone_number": "954-821-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 NW 13TH ST",
            "address_2": "UNIT 171C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862284",
            "telephone_number": "954-821-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE BROTHERS REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-821-0931",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTR14713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.