Organization Active NPI

Road to Rehabilitation Home Therapy LLC.

Doing business as R2 Rehab

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1730875519
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROAD TO REHABILITATION HOME THERAPY LLC.
Doing business as
R2 Rehab
Practice address
9703 Sandpiper LN
West Palm Beach, FL 33411-6321
Phone
(561) 385-5057
NPI assigned
Apr 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Authorized official

Name
Dr. Marcus Vinicius Jackovitz, DPTNPI 1770319519
Title
Physical Therapist
Phone
(561) 303-7736

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9703 Sandpiper LN
West Palm Beach, FL 33411-6321

Mailing address

9703 Sandpiper LN
West Palm Beach, FL 33411-6321
Phone (561) 385-5057

Other names 1

  • R2 Rehab Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725753600000",
    "number": "1730875519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9703 SANDPIPER LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116321",
            "telephone_number": "561-385-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9703 SANDPIPER LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116321",
            "telephone_number": "561-385-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO REHABILITATION HOME THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "JACKOVITZ",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "VINICIUS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "561-303-7736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R2 Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.