NCI MEDICAL – NPI #1477675999
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

NCI MEDICAL is a provider located in MARGATE, FL. NPPES has assigned the NPI number 1477675999 to NCI MEDICAL on April 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NCI MEDICAL” is a dba name, the actual legal business name for this organization is NORTHWEST CENTER FOR INTEGRATIVE MEDICINE AND REHABILITATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.

The NPI profile was previously updated about 18 years ago on Aug 11, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NCI MEDICAL below.

NPI Profile for
NORTHWEST CENTER FOR INTEGRATIVE MEDICINE AND REHABILITATION

NPI Number
1477675999
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST CENTER FOR INTEGRATIVE MEDICINE AND REHABILITATION
Doing Business As (dba): NCI MEDICAL
Primary location
2960 N STATE ROAD 7
SUITE 204
MARGATE, FL 33063-5755
Phone: (954) 977-9077 Fax: (954) 979-0675
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ABRAHAM FREEMAN
DIRECTOR OF CLINIC
Phone: (954) 977-9077
Updated
Identifiers

Identifiers for NCI MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL3811301-00
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine (Primary)
FL ME27172
171100000X
- Acupuncturist
FL AP1605
111NN1001X
- Chiropractor / Nutrition
FL CH0004917

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.