Light Rehab Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT3616 Issued in FL

Legal business name

LIGHT REHAB INC

Practice address

7225 N University Dr
Suite 201
Tamarac, FL 33321-2908

Phone

(954) 724-3031

Fax

(954) 963-7169

NPI assigned

Mar 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Vinod Thakar, R.P.T.

Title

Owner/Physical Therapist

Phone

(954) 257-7919

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330732800000",
    "number": "1801160189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 SW 55TH ST",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304503",
            "telephone_number": "954-257-7919",
            "fax_number": "954-963-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "SUITE 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212908",
            "telephone_number": "954-724-3031",
            "fax_number": "954-963-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-03",
        "last_updated": "2012-03-03",
        "status": "A",
        "authorized_official_last_name": "THAKAR",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-257-7919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilona Elisabeth Libansky, PH.D., LMFT, CAC
• Liberty Behavioral Center LLC
• Charles Elliott Lieber, M.D.
• Lifecare of Florida LLC
• Lifecare of Florida LLC
• Lignum Vitae Infusions LLC
• Lilee'S Consulting, LLC (Gifted Health Group)
• Alex Lin, DO
• Annie Lin, DCN, CNS, LDN
• Loise A Lipsett, ARNP

• Physical Therapy Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.