Rehabilitation on Demand, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHABILITATION ON DEMAND, LLC

Practice address

4501 N Wickham Rd Ste 103B
Melbourne, FL 32935-7100

Phone

(321) 610-3983

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Geoffrey Fraser

Title

Owner

Phone

(321) 288-0171

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1033835798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N WICKHAM RD STE 103B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357100",
            "telephone_number": "321-610-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N WICKHAM RD STE 103B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357100",
            "telephone_number": "321-610-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ON DEMAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-288-0171"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Dunn Regan, DPT
• Regenerative Medicine Space Coast LLC
• McKenna Ann Register
• Rehab Specialists East Coast
• Rehabclinics (Pta) Inc
• Christopher S Rehak, M.D.
• Erika Jennifer Reid, LCSW
• Jose A Reilova, MD
• Jose Gabriel Reina Montes
• Ann Reinhart, ARNP

• Rehabilitation Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.