Primecare Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7224 Issued in FL

Legal business name

PRIMECARE REHAB INC

Practice address

570 Memorial Circle
Ormond Beach, FL 32174

Phone

(386) 673-1031

Fax

(386) 673-1065

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By 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

Mr. Hector A Rosado Jr., LPTNPI 1245241611

Title

Owner Pres

Phone

(386) 673-1031

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hector A Rosado Jr., LPT

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1245241611
  Authorized official Same address or phone

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881702660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353813",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321353813",
            "telephone_number": "386-673-1031",
            "fax_number": "386-673-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIRCLE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-1031",
            "fax_number": "386-673-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "386-673-1031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y 8721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Progressive Physical Therapy Inc
• Progressive Psychological Services
• Stacy R Pruett, M.S. CCC-SLP

• Physical Therapist in Ormond Beach, FL
• Providers in Ormond 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 Aug 22, 2020; 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.