Coconut Creek Rehabilitation Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

COCONUT CREEK REHABILITATION INC

Doing business as

Coconut Creek Therapy

Practice address

1315 Lyons Rd
Coconut Creek, FL 33063-3927

Phone

(954) 972-1200

Fax

(954) 972-6212

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By 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

Todd R James, PTNPI 1073562369

Title

President

Phone

(954) 972-1200

Specialties & licenses 1

Addresses

Other names 1

• Coconut Creek Therapy Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942673405. Details of each certification follow.

• CCN 686506 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 686506

Legal name

COCONUT CREEK REHABILITATION INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 6, 1997

Last certification

Aug 1, 2023

Ownership / control type

Proprietary

Facility address

1315 Lyons Rd
Coconut Creek, FL 33063

Tax ID family

Coconut Creek Rehabilitation2 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.

• Coconut Creek Rehabilitation Inc

  dba Coconut Creek Therapy

  • Rehabilitation Clinic/Center
  • Coconut Creek, FL
  • NPI 1134335557
  NPD tax ID

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.

• Todd Robert James, PT

  • Physical Therapist
  • Coconut Creek, FL
  • NPI 1073562369
  NPD Authorized official

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1942673405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633927",
            "telephone_number": "954-972-1200",
            "fax_number": "954-972-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633927",
            "telephone_number": "954-972-1200",
            "fax_number": "954-972-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONUT CREEK REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-972-1200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coconut Creek Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coconut Creek Optical Inc.
• Coconut Creek Physicians P L
• Coconut Creek Professional Group LLC
• Coconut Creek Rehab LLC (The Health Center of Coconut Creek)
• Coconut Creek Rehabilitation Inc (Coconut Creek Therapy)
• Cogent Healthcare of Jacksonville, LLC
• Elizabeth Ellen Cohen, PT
• Marc Samuel Cohen, M.S., M.D.
• Collective Self LLC
• Margaret Collier

• Rehabilitation Clinic/Center in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.