Galt Ocean Rehab, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1706AD576801 Issued in FL

Legal business name

GALT OCEAN REHAB, LLC

Practice address

4001 N Ocean Dr
Suite 305
Ft Lauderdale, FL 33308-5968

Phone

(844) 468-1345

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Adam Seth Rudo

Title

Director of Billing Services

Phone

(305) 479-8222

Specialties & licenses 2

Addresses

Tax ID family

Galt Ocean Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Galt Ocean Rehab LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ft Lauderdale, FL
  • NPI 1699129189
  NPD tax ID

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1922416106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR",
            "address_2": "SUITE 305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR",
            "address_2": "SUITE 305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "844-468-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALT OCEAN REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2021-06-29",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "RUDO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "305-479-8222"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD576801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galt Chiropractic Office, Inc.
• Galt Dermatology & Concierge Medicine PA
• Galt Mile Wellness Chiropractic Center Inc
• Galt Ocean Chiropractic Inc
• Galt Ocean Rehab LLC
• Kasey Lynn Galt, PT, DPT
• Alessandra Paola Galvan
• Sergio Francisco Galvez Leiva, LMT
• Maria Fernanda Galvez, LMHC
• Susan Diane Galvis, DDS

• Substance Use Disorder Rehabilitation Clinic/Center in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.