1 Advanced Rehab & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3519 Issued in FL

Legal business name

1 ADVANCED REHAB & WELLNESS CENTER

Practice address

11211 Prosperity Farms Rd
Ste 208
Palm Beach Gardens, FL 33410-3446

Phone

(561) 296-5952

NPI assigned

Aug 17, 2010

Last updated

Oct 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Fernandez

Title

Manager

Phone

(561) 398-8024

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1801101670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "STE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-296-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "STE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-296-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 ADVANCED REHAB & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-398-8024"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3519",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.