Organization Active NPI

Total Lymphedema Care Inc

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1780732594
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOTAL LYMPHEDEMA CARE INC
Practice address
275 NW 107TH Ave
Pembroke Pines, FL 33026-4061
Phone
(954) 438-5655
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Ms. Jean A. Yzer
Title
Director
Phone
(954) 438-5655

Specialties & licenses 1

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

Addresses

Primary practice location

275 NW 107TH Ave
Pembroke Pines, FL 33026-4061

Mailing address

275 NW 107TH Ave
Pembroke Pines, FL 33026-4061
Phone (954) 438-5655

Other identifiers 1

IdentifierTypeStateIssuer
AF385OtherFLMEDICARE LEGACY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1780732594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 NW 107TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264061",
            "telephone_number": "954-438-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NW 107TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264061",
            "telephone_number": "954-438-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LYMPHEDEMA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "YZER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-438-5655",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "AF385",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.