Chrysalis Pediatric Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16228 Issued in FL

Legal business name

CHRYSALIS PEDIATRIC REHABILITATION

Practice address

629 Manatee Bay Dr
Boynton Beach, FL 33435-2800

Phone

(754) 234-5624

Fax

(561) 828-3199

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Donna Ramos, PT

Title

Presisdent

Phone

(754) 234-5624

Specialties & licenses 1

Addresses

Other names 1

• Chrysalis Rehabilitation Other name

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1821460809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 MANATEE BAY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352800",
            "telephone_number": "754-234-5624",
            "fax_number": "561-828-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MANATEE BAY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352800",
            "telephone_number": "754-234-5624",
            "fax_number": "561-828-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS PEDIATRIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESISDENT",
        "authorized_official_telephone_number": "754-234-5624",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrysalis Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Chomko, DPT
• Chomsky Therapy Services Inc.
• Barbara Christakis, MD
• George Andrew Christakis, DO
• Christopher N. Chiodo, DPM, PA
• Jonathan Chua, M.D.
• Regan Elizabeth Ciceklic, PA-C
• Lisa Cicetti, PSY.D.,L.M.H.C.
• Patricia L Cicetti, LMHC
• Terri Ann Ciciless

• Physical Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.