Active NPI
Personal Rehab Inc
- Physical Medicine & Rehabilitation Physician
- Lake Placid, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT0005726
- Legal business name
- PERSONAL REHAB INC
- Practice address
- 104 S Main Ave
Lake Placid, FL 33852-1808 - Phone
- (863) 699-6929
- NPI assigned
- Apr 14, 2006
- Last updated
- Mar 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rene Smit, R.P.T.
- Title
- Owner
- Phone
- (863) 699-6929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT0005726 | FL | Primary |
Addresses
Primary practice location
104 S Main Ave
Lake Placid, FL 33852-1808
Mailing address
104 S Main Ave
Lake Placid, FL 33852-1808
Phone (863) 699-6929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y909E | Other | FL | BLUE CROSS BLUE SHIELD |
| DC0334 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
104 S Main Ave
Lake Placid, FL 33852
Phone (863) 699-6929
251 US 27 N
Sebring, FL 33870
Phone (863) 385-1406
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Lake Placid, FL
- NPI 1831153949
-
- Physical Medicine & Rehabilitation Physician
- Sebring, FL
- NPI 1134183296
-
- Physical Medicine & Rehabilitation Physician
- Lake Placid, FL
- NPI 1154386449
-
- Internal Medicine Physician
- Newberry, FL
- NPI 1689695371
-
- Family Nurse Practitioner
- Gainesville, FL
- NPI 1104197441
-
- Geriatric Medicine (Internal Medicine) Physician
- Gainesville, FL
- NPI 1871506212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1033173265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S MAIN AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338521808",
"telephone_number": "863-699-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S MAIN AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338521808",
"telephone_number": "863-699-6929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL REHAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "SMIT",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-699-6929",
"authorized_official_credential": "R.P.T."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PT0005726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y909E",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC0334",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.