Organization Active NPI

Rem Rehabilitation & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1033995147
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REM REHABILITATION & WELLNESS, LLC
Practice address
14815 Mandarin Rd Ste 102
Jacksonville, FL 32223-2607
Phone
(803) 743-2919
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. John Steven Remensnyder, DPTNPI 1023895752
Title
Manager
Phone
(803) 743-2919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

14815 Mandarin Rd Ste 102
Jacksonville, FL 32223-2607

Mailing address

922 1St St S Apt 101
Jacksonville Beach, FL 32250-6548
Phone (180) 374-3291

Other names 1

  • Fyzical Therapy & Balance Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240215000654 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890142384 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

14815 Mandarin Rd
Ste 102
Jacksonville, FL 32223
Phone (803) 743-2919

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1033995147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 1ST ST S APT 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506548",
            "telephone_number": "180-374-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 MANDARIN RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232607",
            "telephone_number": "803-743-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM REHABILITATION & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-11-02",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "REMENSNYDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-743-2919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.