Organization Active NPI

Rapid Response Medical LLC

  • Internal Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1942942677
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAPID RESPONSE MEDICAL LLC
Practice address
2093 SE Fern Park Dr
Port St Lucie, FL 34952-8005
Phone
(772) 486-1135
Fax
(772) 673-4623
NPI assigned
Apr 12, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Carl Abdenroth, DC
Title
Owner/ Provider
Phone
(772) 486-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2093 SE Fern Park Dr
Port St Lucie, FL 34952-8005

Mailing address

2093 SE Fern Park Dr
Port St Lucie, FL 34952-8005
Phone (772) 486-1135

Other identifiers 1

IdentifierTypeStateIssuer
1124075197OtherFLNPI

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1942942677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 SE FERN PARK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528005",
            "telephone_number": "772-486-1135",
            "fax_number": "772-673-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 SE FERN PARK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528005",
            "telephone_number": "772-486-1135",
            "fax_number": "772-673-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID RESPONSE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ABDENROTH",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "772-486-1135",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124075197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.