Organization Active NPI

Senior First Physical Therapy Corp

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1982752192
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SENIOR FIRST PHYSICAL THERAPY CORP
Practice address
6508 Blue Bay Cir
Lake Worth, FL 33467-7219
Phone
(561) 236-4523
Fax
(561) 478-9349
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Temistocles Ruben Pozo, PT
Title
President
Phone
(561) 236-4523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6508 Blue Bay Cir
Lake Worth, FL 33467-7219

Mailing address

6508 Blue Bay Cir
Lake Worth, FL 33467-7219
Phone (561) 236-4523

Other identifiers 1

IdentifierTypeStateIssuer
K4482OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

1977 S Military Trl
West Palm Beach, FL 33415
Phone (561) 964-6805

Practitioners & affiliated clinicians

Practitioners 1

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": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1982752192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 BLUE BAY CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677219",
            "telephone_number": "561-236-4523",
            "fax_number": "561-478-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 BLUE BAY CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677219",
            "telephone_number": "561-236-4523",
            "fax_number": "561-478-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR FIRST PHYSICAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "POZO",
        "authorized_official_first_name": "TEMISTOCLES",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-236-4523",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K4482",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.