Organization Active NPI

Quality Performance Rehabilitation, Inc

  • Physical Therapist
  • Port St Lucie, FL
National Provider Identifier
1952335291
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
QUALITY PERFORMANCE REHABILITATION, INC
Practice address
441 NW Prima Vista Blvd.
Port St. Lucie, FL 34983
Phone
(772) 873-8980
Fax
(772) 873-8981
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Mr. Thomas R Fischer, DPT
Title
Clinical Director
Phone
(772) 873-8980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X FL

Addresses

Primary practice location

441 NW Prima Vista Blvd.
Port St. Lucie, FL 34983

Mailing address

441 NW Prima Vista Blvd.
Port St. Lucie, FL 34983
Phone (772) 873-8980

Other identifiers 1

IdentifierTypeStateIssuer
Y9172OtherFLBCBS GROUP

National Provider Directory

National Provider Directory

Locations

10083 S Federal Hwy
Port St Lucie, FL 34952
Phone (772) 398-7678

1400 SE Goldtree Dr
Ste 101
Port St Lucie, FL 34952
Phone (772) 398-7678

8421 S Federal Hwy
Port St Lucie, FL 34952
Phone (772) 460-2520

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1952335291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW PRIMA VISTA BLVD.",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-873-8980",
            "fax_number": "772-873-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW PRIMA VISTA BLVD.",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-873-8980",
            "fax_number": "772-873-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PERFORMANCE REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "772-873-8980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "Y9172",
            "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 Jul 19, 2016; 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.