NPIMap

Organization Active NPI

Broward Rehabilitation Medicine Associates PA

  • Physical Medicine & Rehabilitation Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1720150261
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BROWARD REHABILITATION MEDICINE ASSOCIATES PA
Practice address
3487 N W 30 Avenue
Lauderdale Lakes, FL 33311
Phone
(954) 739-6233
NPI assigned
Nov 13, 2006
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Daniel Charles Carney Sr., DONPI 1316928500
Title
President
Phone
(561) 734-7598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3487 N W 30 Avenue
Lauderdale Lakes, FL 33311

Mailing address

PO Box 740463
Boynton Beach, FL 33474
Phone (561) 739-5136

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1720150261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740463",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33474",
            "telephone_number": "561-739-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 N W 30 AVENUE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-739-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD REHABILITATION MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-734-7598",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.