Organization Active NPI

United Rehab Inc.

  • Rehabilitation Clinic/Center
  • Milton, FL
National Provider Identifier
1003123589
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
UNITED REHAB INC.
Doing business as
PruittHealth Therapy Services
United Rehab of Santa Rosa
Practice address
5530 Northrop Rd
Milton, FL 32570-8701
Phone
(850) 983-8888
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neil L. Pruitt Jr.
Title
Chairman and Ceo
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5530 Northrop Rd
Milton, FL 32570-8701

Mailing address

1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200

Other names 2

  • PruittHealth Therapy Services Doing business as
  • United Rehab of Santa Rosa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Rehab Inc80 organizations share this tax ID, including this one

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1003123589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932219",
            "telephone_number": "770-279-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 NORTHROP RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708701",
            "telephone_number": "850-983-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Rehab of Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.