Organization Active NPI

Kashuba Rehabilitation Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • North Palm Beach, FL
National Provider Identifier
1730267741
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
199805224 Issued in FL
Legal business name
KASHUBA REHABILITATION INC
Practice address
733 US Highway 1
Building 2a
North Palm Beach, FL 33408-4513
Phone
(561) 240-4204
Fax
(561) 840-4234
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Mr. David E Kashuba, OTNPI 1679603468
Title
President
Phone
(561) 624-1457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 199805224 FL Primary

Addresses

Primary practice location

733 US Highway 1
Building 2a
North Palm Beach, FL 33408-4513

Mailing address

733 US Highway 1
Building 2a
North Palm Beach, FL 33408-4513
Phone (561) 240-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000089 FL Part A Provider - Comprehensive Outpatient Rehabilitation Facility 2365610201 Practice locations: North Palm Beach, FL

Comprehensive outpatient rehabilitation facility certification: CCN 103246

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KASHUBA REHABILITATION INC
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Oct 29, 1997
Last certification
Aug 9, 2023
Ownership / control type
Proprietary
Facility address
733 US Hwy 1
North Palm Beach, FL 33408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1730267741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 US HIGHWAY 1",
            "address_2": "BUILDING 2A",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084513",
            "telephone_number": "561-240-4204",
            "fax_number": "561-840-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 US HIGHWAY 1",
            "address_2": "BUILDING 2A",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084513",
            "telephone_number": "561-240-4204",
            "fax_number": "561-840-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHUBA REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "KASHUBA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-1457",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "199805224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.