TLC Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TLC REHAB, LLC

Practice address

10969 SE 175TH PL
Summerfield, FL 34491-0902

Phone

(352) 347-8877

Fax

(352) 347-9477

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dreama M Waldrop, PT

Title

President/Owner

Phone

(352) 382-7214

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• TLC Rehab LLC

  • Physical Therapist
  • Crystal River, FL
  • NPI 1912081142

  O20131219001672

  Same enrollment
• TLC Rehab, LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1659340222

  O20131219001672

  Same enrollment

Tax ID family

TLC Rehab LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• TLC Rehab LLC

  • Physical Therapist
  • Inverness, FL
  • NPI 1417924077
  NPD tax ID
• TLC Rehab, LLC

  • Physical Therapist
  • Citrus Springs, FL
  • NPI 1326015991
  NPD tax ID
• TLC Rehab, LLC

  • Physical Therapist
  • Hernando, FL
  • NPI 1548237118
  NPD tax ID
• TLC Rehab, LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1659340222
  NPD tax ID
• TLC Rehab, LLC

  • Physical Therapist
  • Homosassa, FL
  • NPI 1922075613
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Rivera-Santoyo

  • Physical Therapist
  • The Villages, FL
  • NPI 1598162349
  NPD (past)
• Amanda McEarl Tilyou, PT

  • Physical Therapist
  • Southport, NC
  • NPI 1174017537
  NPD (past)
• Cassius Tilyou, PT, DPT

  • Physical Therapist
  • Wilmington, NC
  • NPI 1518665835
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1013986660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741708",
            "telephone_number": "352-382-7214",
            "fax_number": "352-382-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10969 SE 175TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344910902",
            "telephone_number": "352-347-8877",
            "fax_number": "352-347-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "DREAMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-382-7214",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883054104",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.