Organization Active NPI

Therapeutic Resources Inc

  • Physical Therapist
  • Coconut Creek, FL
National Provider Identifier
1770635393
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2586 Issued in FL
Legal business name
THERAPEUTIC RESOURCES INC
Practice address
5450 W Hillsboro Blvd
Suite Nine
Coconut Creek, FL 33073-4317
Phone
(954) 725-9125
Fax
(954) 725-9135
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph William Rusinowski Jr., PT
Title
President Ceo
Phone
(954) 725-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT2586 FL Primary

Addresses

Primary practice location

5450 W Hillsboro Blvd
Suite Nine
Coconut Creek, FL 33073-4317

Mailing address

5450 W Hillsboro Blvd
Ste # 9
Coconut Creek, FL 33073-4317
Phone (954) 725-9125

Other identifiers 2

IdentifierTypeStateIssuer
SG074567OtherFLVISTA
0007360595OtherFLAETNA

National Provider Directory

National Provider Directory

Locations

5450 W Hillsboro Blvd
Ste 9
Coconut Creek, FL 33073
Phone (954) 725-9125

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770635393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 W HILLSBORO BLVD",
            "address_2": "STE # 9",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734317",
            "telephone_number": "954-725-9125",
            "fax_number": "954-725-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 W HILLSBORO BLVD",
            "address_2": "SUITE NINE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734317",
            "telephone_number": "954-725-9125",
            "fax_number": "954-725-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSINOWSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "954-725-9125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "SG074567",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007360595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • 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.