Organization Active NPI

Golf Rehab Specialists, LLC

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1942787304
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19114 Issued in FL
Legal business name
GOLF REHAB SPECIALISTS, LLC
Practice address
6120 Winding Lake Dr
Jupiter, FL 33458-3739
Phone
(561) 202-7047
Fax
(561) 972-7066
NPI assigned
Jul 27, 2018
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Mr. Timothy Robert Toward II, MPTNPI 1366525933
Title
Owner/Operator
Phone
(561) 202-7047

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 Therapist 225100000X PT19114 FL Primary

Addresses

Primary practice location

6120 Winding Lake Dr
Jupiter, FL 33458-3739

Mailing address

6120 Winding Lake Dr
Jupiter, FL 33458-3739
Phone (561) 202-7047

Other identifiers 1

IdentifierTypeStateIssuer
889096000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190430002833 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779825336 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1942787304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WINDING LAKE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583739",
            "telephone_number": "561-202-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WINDING LAKE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583739",
            "telephone_number": "561-202-7047",
            "fax_number": "561-972-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF REHAB SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "TOWARD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "561-202-7047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889096000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.