ST JUDE PROFESSIONAL CARE INC (NPI# 1558743666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558743666 |
| Entity Type | Organization |
| Organization Name | ST JUDE PROFESSIONAL CARE INC |
| Practice Address |
9806 Pines Blvd Pembroke Pines FL 33024-6141 |
| Practice Telephone | 7866636394 |
| Practice Fax Number | 9543675246 |
| Mailing Telephone | 7866636394 |
| Mailing Fax Number | 9543675246 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | NICOLE NICODEMO (OWNER) |
| Authorized Official Telephone | 7866636394 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | PT25877 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
9806 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043476203 | Barcella Rehab Corp | Clinic/Center | 9806 Pines Blvd, Pembroke Pines, FL 33024-6141 | 2008-08-06 |
| 1316344740 | Lmc Health & Wellness Center Inc. | Clinic/Center | 9806 Pines Blvd, Pembroke Pines, FL 33024-6141 | 2014-12-01 |
| 1891033478 | Nicole Nicodemo | Physical Therapist | 9806 Pines Blvd, Pembroke Pines, FL 33024-6141 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982984704 | Physical Medicine and Rehabilitation Consultant, LLC | Physical Medicine & Rehabilitation | 6175 Sw 192nd Ave, Pembroke Pines, FL 33332 | 2011-08-24 |
| 1063937340 | Pain Medical Center Inc | Physical Medicine & Rehabilitation | 1806 N Flamingo Rd Ste 450, Pembroke Pines, FL 33028-1043 | 2017-08-08 |
| 1699220251 | Jade Therapeutics Inc | Physical Medicine & Rehabilitation | 8150 Pines Blvd, Pembroke Pines, FL 33024-6710 | 2016-08-23 |
| 1003360157 | Carlos Forte | Physical Medicine & Rehabilitation | 9929 Pines Blvd, Pembroke Pines, FL 33024-6175 | 2016-08-06 |
| 1215099528 | Neurological Testing Centers of America Inc | Physical Medicine & Rehabilitation | 10011 Pines Blvd, Suite 201, Pembroke Pines, FL 33024-6189 | 2006-12-14 |
| 1043324429 | David Louis Berkower | Physical Medicine & Rehabilitation | 1 Sw 129th Ave, Suite 305, Pembroke Pines, FL 33027-1761 | 2006-08-19 |
| 1053368845 | Eddie E Sassoon | Physical Medicine & Rehabilitation | 10011 Pines Blvd, Suite 201, Pembroke Pines, FL 33024-6189 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031272 | Optimal Rehab Care, LLC | Physical Medicine & Rehabilitation | 872 Woodside Rd, Maitland, FL 32751-5134 | 2020-10-21 |
| 1952900243 | New Beginnings Medical and Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 13501 Sw 128th St Unit 201-202, Miami, FL 33186-5882 | 2020-10-19 |
| 1821605866 | Victoria Franco | Physical Medicine & Rehabilitation | 8921 Edgewater Bnd, Parkland, FL 33076-4563 | 2020-09-24 |
| 1518572148 | Marqus Ellery Fisher | Physical Medicine & Rehabilitation | 289 Sw Stonegate Ter Ste 101, Lake City, FL 32024-3457 | 2020-09-10 |
| 1447864806 | Goran Andonovski | Physical Medicine & Rehabilitation | 3108 Santa Barbara Blvd Ste D, Cape Coral, FL 33914-4537 | 2020-09-03 |
| 1770194656 | Maria Jose Gamboa | Physical Medicine & Rehabilitation | 8020 Cleary Blvd Apt 207, Plantation, FL 33324-1349 | 2020-08-13 |
| 1609486067 | Elizabeth Pereira | Physical Medicine & Rehabilitation | 4925 Grande Dr, Pensacola, FL 32504-8965 | 2020-07-31 |
| 1790393874 | Np Health of Fl LLC | Physical Medicine & Rehabilitation | 27794 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2020-07-15 |
| 1144847138 | Pohlman Pain Associates LLC | Physical Medicine & Rehabilitation | 5341 Atlantic Ave Ste 302, Delray Beach, FL 33484-8166 | 2020-06-25 |
| 1316563661 | Brooke Marshall | Physical Medicine & Rehabilitation | 2300 Jenks Ave Ste C, Lynn Haven, FL 32444-5469 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.