United Cerebral Palsy of Broward County

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

UNITED CEREBRAL PALSY OF BROWARD COUNTY

Practice address

3595 2ND Avenue N
Lake Worth, FL 33461-3346

Phone

(561) 357-7779

NPI assigned

Sep 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Phipps

Title

Executive Assistant

Phone

(954) 584-7178

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

United Cerebral Palsy of Broward County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• United Cerebral Palsy 0F Broward, Palm Beach and Mid-Coast Counties, Inc.

  • Contractor
  • Ft Lauderdale, FL
  • NPI 1710855622
  NPD tax ID
• United Cerebral Palsy of Broward County

  • Behavior Analyst
  • Fort Lauderdale, FL
  • NPI 1871801928
  NPD tax ID

Locations

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1871076752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 2ND AVENUE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612707",
            "telephone_number": "954-315-4041",
            "fax_number": "954-315-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 2ND AVENUE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613346",
            "telephone_number": "561-357-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3117 SW 13th Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33312",
            "country_code": "US",
            "telephone_number": "954-315-4041",
            "fax_number": "954-315-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3117 SW 13th Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33312",
            "country_code": "US",
            "telephone_number": "954-315-4041",
            "fax_number": "954-315-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF BROWARD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "954-584-7178",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880506700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Ubeda, MD
• Ultimate Care Medical Center
• Emanise Ulysse, LPN
• Umoren Medical LLC
• Unica Care LLC
• United Research Clinic Inc
• United Thera Group LLC
• Universal Medical Equipment of Palm Beach Inc
• Universal Medical System Center Inc
• Universiity Imaging Center LLC

• Physical Therapy Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, 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 Sep 12, 2019; 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.