Physical Medicine and Rehabilitation Consultant, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME 99900 Issued in FL

Legal business name

PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC

Practice address

6175 SW 192ND Ave
Pembroke Pines, FL 33332

Phone

(919) 260-8760

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Samson, M.D.

Title

Physician

Phone

(919) 260-8760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1982984704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 SW 192ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33332",
            "telephone_number": "919-260-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 SW 192ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33332",
            "telephone_number": "919-260-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-260-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME 99900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.