=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043502735
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROYAL PALM BEACH REHAB, CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2011
-----------------------------------------------------
Last Update Date | 10/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 160 CONGRESS PARK DR STE 101
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33445-4724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-277-2369
-----------------------------------------------------
Fax | 561-423-8579
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4971 LE CHALET BLVD STE 100
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33436-1418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-733-5590
-----------------------------------------------------
Fax | 561-740-0714
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JOHN PAPA
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 561-801-2535
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------