GREENACRES HEALTH & REHAB LLC
NPI 1164033718
Internal Medicine - Sports Medicine in Greenacres, FL

Q: What is Greenacres Health & Rehab LLC's NPI number?

The NPI number for Greenacres Health & Rehab LLC is 1164033718. It was assigned to this organization in the NPPES registry on August 16, 2020.

Q: What is Greenacres Health & Rehab LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Active since August 16, 2020

4010 S 57TH AVE STE 101, GREENACRES, FL 33463(561) 964-9331 Get Directions Write a Review

NPPES record last updated: August 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Greenacres Health & Rehab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENACRES HEALTH & REHAB LLC (NPI 1164033718) is a healthcare organization registered as a sports medicine in Greenacres, Florida and active in the NPI registry since August 2020. The organization lists John Deluca, Mgr, as its authorized official.

NPPES Registry Identity

NPI1164033718

Entity TypeOrganization

Primary Taxonomy207RS0010X

Legal Business NameGREENACRES HEALTH & REHAB LLC

Location Address4010 S 57TH AVE STE 101Greenacres, FL 33463-4301

Mailing Address4010 S 57th Ave Ste 101Greenacres, FL 33463-4301 · (561) 964-9331

Phone(561) 964-9331

Organization SubpartNo

Authorized OfficialJohn DelucaMgr · (561) 964-9331

Enumeration DateAugust 16, 2020

NPPES CertifiedAugust 16, 2020

✔ NPI 1164033718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

4010 S 57TH AVE STE 101, Greenacres, FL 33463

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greenacres Health & Rehab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20210706001041Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Greenacres Health & Rehab LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Deluca, M.D.

Internal Medicine

NPI 1407050024

11951 US HIGHWAY 1 STE 105
North Palm Beach, FL 33408

(561) 630-8722

✔ PECOS16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenacres Health & Rehab LLC's NPI number?

The NPI number for Greenacres Health & Rehab LLC is 1164033718. It was assigned to this organization in the NPPES registry on August 16, 2020.

Where is Greenacres Health & Rehab LLC located?

Greenacres Health & Rehab LLC is located at 4010 S 57th Ave Ste 101, Greenacres, FL 33463. The listed phone number is (561) 964-9331.

What is Greenacres Health & Rehab LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Greenacres Health & Rehab LLC enrolled in Medicare?

Yes. Greenacres Health & Rehab LLC is registered in the Medicare PECOS enrollment system.

When is Greenacres Health & Rehab LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Greenacres Health & Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Greenacres Health & Rehab LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Greenacres Health & Rehab LLC was last updated on August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.