Organization Active NPI

Lake Worth Medical & Rehab, LLC

  • Chiropractor
  • Greenacres, FL
National Provider Identifier
1972710986
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3686 Issued in FL
Legal business name
LAKE WORTH MEDICAL & REHAB, LLC
Practice address
2910 Jog Rd
Greenacres, FL 33467-2002
Phone
(561) 969-3232
Fax
(561) 969-3325
NPI assigned
May 17, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Henry Battagliola, DC
Title
Chiropractor
Phone
(561) 969-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3686 FL Primary

Addresses

Primary practice location

2910 Jog Rd
Greenacres, FL 33467-2002

Mailing address

2910 Jog Rd
Greenacres, FL 33467-2002
Phone (561) 969-3232

National Provider Directory

National Provider Directory

Locations

2910 S Jog Rd
Greenacres, FL 33467
Phone (561) 969-3232

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1972710986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672002",
            "telephone_number": "561-969-3232",
            "fax_number": "561-969-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672002",
            "telephone_number": "561-969-3232",
            "fax_number": "561-969-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH MEDICAL & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIOLA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "561-969-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.