Kingdom Therapy of Palm Beach Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KINGDOM THERAPY OF PALM BEACH INC

Practice address

2904 S Jog Rd
Greenacres, FL 33467-2002

Phone

(561) 667-5349

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Eudelio Alfonso

Title

Owner

Phone

(561) 667-5349

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1942058276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672002",
            "telephone_number": "561-667-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672002",
            "telephone_number": "561-667-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM THERAPY OF PALM BEACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "EUDELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-667-5349"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Greenacres, FL
• Providers in Greenacres, 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 Jun 17, 2024; 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.