Organization Active NPI

Ortho Rehab of Hallandale BCH LLC

  • Neurological Surgery Physician
  • Hallandale Beach, FL
National Provider Identifier
1962737619
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ORTHO REHAB OF HALLANDALE BCH LLC
Practice address
110 N Federal Hwy
Unit 104
Hallandale Beach, FL 33009-4300
Phone
(954) 454-2870
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Ms. Brooke A Flores
Title
GM
Phone
(954) 454-2870

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

110 N Federal Hwy
Unit 104
Hallandale Beach, FL 33009-4300

Mailing address

110 N Federal Hwy
Unit 104
Hallandale Beach, FL 33009-4300
Phone (954) 454-2870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1962737619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY",
            "address_2": "UNIT 104",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094300",
            "telephone_number": "954-454-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY",
            "address_2": "UNIT 104",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094300",
            "telephone_number": "954-454-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO REHAB OF HALLANDALE BCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "954-454-2870",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.