Organization Active NPI

RJB Cardiac & Physical Rehabilitation Inc.

  • Physical Therapist
  • Lake Placid, FL
National Provider Identifier
1891099370
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RJB CARDIAC & PHYSICAL REHABILITATION INC.
Practice address
344 E Royal Palm St
Suite 1
Lake Placid, FL 33852-5020
Phone
(863) 465-9991
Fax
(863) 465-9906
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Mr. Robert Joseph Biernot, PTNPI 1184711962
Title
Owner
Phone
(863) 314-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X FL Primary

Addresses

Primary practice location

344 E Royal Palm St
Suite 1
Lake Placid, FL 33852-5020

Mailing address

344 E Royal Palm St
Suite 1
Lake Placid, FL 33852-5020
Phone (863) 465-9991

Other identifiers 1

IdentifierTypeStateIssuer
K3694OtherFLMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109000783 FL Part B Supplier - Clinic/Group Practice 7012970247 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sebring, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

344 E Royal Palm St
Ste 1
Lake Placid, FL 33852
Phone (863) 465-9991

5901 US Highway 27 S
Ste 10
Sebring, FL 33870
Phone (863) 314-9991

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1891099370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E ROYAL PALM ST",
            "address_2": "SUITE 1",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338525020",
            "telephone_number": "863-465-9991",
            "fax_number": "863-465-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E ROYAL PALM ST",
            "address_2": "SUITE 1",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338525020",
            "telephone_number": "863-465-9991",
            "fax_number": "863-465-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJB CARDIAC & PHYSICAL REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BIERNOT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-314-9991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K3694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.