WESLEY ROLAND INNOCENT JR. (NPI# 1568073823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568073823 |
Entity Type | Individual |
Full Name | WESLEY ROLAND INNOCENT JR. |
Credential | LPTA |
Practice Address |
2685 Executive Park Dr Weston FL 33331-3651 |
Mailing Address |
2031 Nw 6th Ct Pompano Beach FL 33069-2406 |
Practice Telephone | 9545150892 |
Practice Fax Number | 9543490896 |
Mailing Telephone | 5612895774 |
Enumeration Date | 2020-08-11 |
Last Update Date | 2020-08-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
PTA30120 | FL | Allopathic & Osteopathic Physicians |
Street Address |
2685 EXECUTIVE PARK DR |
City | WESTON |
State | FL |
Zip Code | 33331-3651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699743930 | Weston Dialysis Center LLC | Clinic/Center | 2685 Executive Park Dr, Ste 1, Weston, FL 33331-3651 | 2006-03-11 |
1962029991 | Jessica Weaver | Speech-Language Pathologist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-06-25 |
1508496704 | David E Rubell | Occupational Therapy Assistant | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-01-16 |
1710432489 | Kenia I Lewis | Occupational Therapist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2016-08-23 |
1346627288 | Cassandra Michelle Gubnitsky | Speech-Language Pathologist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2015-04-29 |
1205239621 | Deanna Smith | Speech-Language Pathologist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2014-09-30 |
1962756692 | Rebecca Alexandra Casas | Occupational Therapist | 2685 Executive Park Dr, Suite 5, Weston, FL 33331-3651 | 2012-11-02 |
1982995668 | Cynthia Ann Dominguez | Speech-Language Pathologist | 2685 Executive Park Dr, Suite 4, Weston, FL 33331-3651 | 2011-04-28 |
1942512652 | Kimberly Tice | Speech-Language Pathologist | 2685 Executive Park Dr, Suite 5, Weston, FL 33331-3651 | 2010-07-10 |
1699929752 | Jaime Antonio Correa | Occupational Therapist | 2685 Executive Park Dr, Suite 4, Weston, FL 33331-3651 | 2008-11-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
Find all providers in zip 33331 |
Taxonomy Code | 2081P0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pediatric Rehabilitation Medicine |
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033769310 | Kayla Marie Tornari | Physical Medicine & Rehabilitation | 6002 Nw 74th Ter, Parkland, FL 33067-1227 | 2019-09-18 |
1750840393 | Because You Can, LLC | Physical Medicine & Rehabilitation | 2901 1st Ave N Ste 101, St Petersburg, FL 33713-8640 | 2019-03-13 |
1780027870 | South Broward Hospital District | Physical Medicine & Rehabilitation | 4651 Sheridan Street, Suite 150, Hollywood, FL 33024 | 2013-04-09 |
1497884399 | First Step Therapeutics | Physical Medicine & Rehabilitation | 1104 Beville Road, Suite J, Daytona Beach, FL 32114-5765 | 2007-03-05 |
1982624771 | Pediatric Potentials, Inc. | Physical Medicine & Rehabilitation | 295 Waymont Ct, Lake Mary, FL 32746-6744 | 2006-07-21 |
1851867204 | Hop, Skip and A Jump Pediatric Physical Therapy | Physical Medicine & Rehabilitation | 30201 Sw 172nd Ave, Homestead, FL 33030-4820 | 2018-10-23 |
1447761473 | Catherine Wright | Physical Medicine & Rehabilitation | 10250 Nw 53rd St, Sunrise, FL 33351-8023 | 2017-10-17 |
1841483393 | Margarita Correa LLC | Physical Medicine & Rehabilitation | 720 Almond St, Clermont, FL 34711-3124 | 2007-08-18 |
1356407068 | Ewa B Brandys | Physical Medicine & Rehabilitation | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2006-12-28 |
1154369221 | James Lawrence Chinarian | Physical Medicine & Rehabilitation | 880 6th St S, Ste 120, St Petersburg, FL 33701-4827 | 2006-06-02 |
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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.