Organization Active NPI

Pro Rehab Group Corp

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1730549411
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRO REHAB GROUP CORP
Practice address
4100 S Hospital Dr
Suite 100
Plantation, FL 33317-2813
Phone
(954) 961-0511
Fax
(954) 961-0519
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Lydia Posada
Title
Director of Operations
Phone
(954) 961-0511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

4100 S Hospital Dr
Suite 100
Plantation, FL 33317-2813

Mailing address

3190 S State Road 7
Suite 12B
Miramar, FL 33023-5280
Phone (954) 961-0511

National Provider Directory

National Provider Directory

Locations

4100 S Hospital Dr
Ste 100
Plantation, FL 33317
Phone (954) 769-1055

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1730549411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 S STATE ROAD 7",
            "address_2": "SUITE 12B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235280",
            "telephone_number": "954-961-0511",
            "fax_number": "954-961-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172813",
            "telephone_number": "954-961-0511",
            "fax_number": "954-961-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO REHAB GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "POSADA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "954-961-0511"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.