Independence Rehab LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

PT7865 Issued in FL

Legal business name

INDEPENDENCE REHAB LLC

Practice address

5241 Nichols Dr E
Lakeland, FL 33813-4077

Phone

(863) 409-6481

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Luis Eduardo Rodriguez, PTNPI 1407892474

Title

Physical Therapy

Phone

(863) 409-6481

Specialties & licenses 1

Addresses

Practitioners 2

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

• Luis E Rodriguez, PHYSICAL THERAPIST

  • Physical Therapist
  • Lakeland, FL
  • NPI 1407892474
  NPD (past) Authorized official
• Deborah Kay Stone, OTA

  • Occupational Therapy Assistant
  • Tampa, FL
  • NPI 1457484404
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1073536413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 NICHOLS DR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134077",
            "telephone_number": "863-409-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 NICHOLS DR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134077",
            "telephone_number": "863-409-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "863-409-6481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "PT7865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwamaka Ilonzo, ARNP
• Grace Yunji Im
• Imagine Orthodontic Studio PLLC
• Imperial Boulevard Management,LLC (Lakeland Pediatirc Dental Care)
• Independence Inc. of Central Florida
• Infectious Disease Consultants LLC
• Alberto Visillas Ingalla, OTR
• Innovative Behavior Management, Inc.
• Innovative Gynecology & Obstetrics, PA
• Innovative Support Services, LLC

• Physical Disabilities Residential Treatment Facility in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.