Organization Active NPI

Advanced Medical

  • Rehabilitation Hospital
  • South Daytona, FL
National Provider Identifier
1053506741
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
SA 9179 Issued in FL
Legal business name
ADVANCED MEDICAL
Practice address
681 Beville Rd
South Daytona, FL 32119-1951
Phone
(866) 426-2811
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Ms. April Dawn Stone, M.S.CCC-SLP
Title
Speech Pathologist
Phone
(615) 477-2072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X SA 9179 FL Primary
Skilled Nursing Facility 314000000X SA 9179 FL

Addresses

Primary practice location

681 Beville Rd
South Daytona, FL 32119-1951

Mailing address

PO Box 292
Lafayette, TN 37083-0292
Phone (615) 477-2072

Other names 1

  • Rehab America Former legal business name

National Provider Directory

National Provider Directory

Locations

681 Beville Rd
South Daytona, FL 32119
Phone (866) 426-2811

Practitioners & affiliated clinicians

Practitioners 1

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1053506741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370830292",
            "telephone_number": "615-477-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191951",
            "telephone_number": "866-426-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "615-477-2072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "SA 9179",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SA 9179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab America",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.