Procare Rehab and Wellness Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 18120 Issued in FL

Legal business name

PROCARE REHAB AND WELLNESS INC.

Practice address

2151 E Commercial Blvd Ste 305
Fort Lauderdale, FL 33308-3807

Phone

(954) 446-9178

Fax

(954) 707-6302

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Trathen, P.T.NPI 1972746329

Title

Owner

Phone

(954) 899-1144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Michael George Trathen, PT

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1972746329
  Medicare reassignment NPD Authorized official
• Evelyn Capdevila, MPT

  • Physical Therapist
  • Hialeah, FL
  • NPI 1821235854
  NPD (past)
• Neil Trickett, PT

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1013095140
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1982979761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 NE 20TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623023",
            "telephone_number": "954-899-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083807",
            "telephone_number": "954-446-9178",
            "fax_number": "954-707-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE REHAB AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "TRATHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-899-1144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 18120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Medical Equipment LLC
• Pro Performance Physical Therapy LLC
• Proactive Medical Group LLC
• Erin Nicole Procacci, PH.D.
• Procare Mobility Sol Inc
• Prodoctors Medical PLLC
• Professional Medical Research LLC
• Professional Pain Management Clinic Inc
• Professionals Trust Inc.
• Progressive Medical Equipment Supply Corporation

• Physical Therapy Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.