Professional Rehab Ortho Labs Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROFESSIONAL REHAB ORTHO LABS INC

Practice address

8401 W McNab Rd
Tamarac, FL 33321-3207

Phone

(954) 721-7301

Fax

(954) 721-7453

NPI assigned

Oct 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Wayne Hyman, CERTIFIED ORTHOTIST

Title

Co-Owner

Phone

(954) 721-7301

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PROLABS O&P Doing business as

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720161193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213207",
            "telephone_number": "954-721-7301",
            "fax_number": "954-721-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213207",
            "telephone_number": "954-721-7301",
            "fax_number": "954-721-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHAB ORTHO LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "954-721-7301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF  FLORIDA",
            "identifier": "R8837",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1044574",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROLABS O&P",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.