Organization Active NPI

Prime Medical Rehab Center, Inc

  • Pain Medicine Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1730240318
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME34371 Issued in FL
Legal business name
PRIME MEDICAL REHAB CENTER, INC
Practice address
2331 N State Road 7
Suite 118
Lauderdale Lakes, FL 33313-3748
Phone
(954) 535-7676
Fax
(954) 535-2909
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Cyril Philip Chorath
Title
Administrator
Phone
(954) 535-7676

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X ME34371 FL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 17717 FL
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X PTA16340 FL

Addresses

Primary practice location

2331 N State Road 7
Suite 118
Lauderdale Lakes, FL 33313-3748

Mailing address

2331 N State Road 7
Suite 118
Lauderdale Lakes, FL 33313-3748
Phone (954) 535-7676

Other identifiers 1

IdentifierTypeStateIssuer
HCC4364OtherFLCLINIC LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Prime Medical Rehab Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730240318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "SUITE 118",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "954-535-7676",
            "fax_number": "954-535-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "SUITE 118",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "954-535-7676",
            "fax_number": "954-535-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHORATH",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-535-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME34371",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 17717",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA16340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC LICENSE",
            "identifier": "HCC4364",
            "state": "FL"
        }
    ],
    "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 Sep 11, 2025; 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.