Medical Rehabilitation Specialists II Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

HCC5556 Issued in FL

Legal business name

MEDICAL REHABILITATION SPECIALISTS II INC

Practice address

1803 Miccosukee Commons Dr Ste202
Talahassee, FL 32308

Phone

(850) 402-0200

Fax

(850) 402-0564

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Kirk J Mauro

Title

Medical Director

Phone

(850) 402-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Injury Care Clinic of Tallahassee Doing business as

Locations

Practitioners 6

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

• Sonya F Hadley, P.T.

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1003095829
  NPD (past)
• Thomas M Larson, MPT

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1366763625
  NPD (past)
• Charles R Letchworth, OTR ,CLT

  • Occupational Therapist
  • Tallahassee, FL
  • NPI 1972606598
  NPD (past)
• Francisco V Ramirez III, PT

  • Physical Therapist
  • North Port, FL
  • NPI 1295804649
  NPD (past)
• Idella Anne Struk, ARNP-C

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1336218791
  NPD (past)
• Rhonda Davidson Wilder, PT

  • Dental Hygienist
  • Tallahassee, FL
  • NPI 1649349002
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114096575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12578",
            "city": "TALAHASSEE",
            "state": "FL",
            "postal_code": "323172578",
            "telephone_number": "850-402-0200",
            "fax_number": "850-402-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 MICCOSUKEE COMMONS DR STE202",
            "city": "TALAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-402-0200",
            "fax_number": "850-402-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION SPECIALISTS II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-402-0200"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "HCC5556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y9124",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Care Clinic of Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley K Krach, PHD, NCSP

• Physical Medicine & Rehabilitation Physician in Talahassee, FL
• Providers in Talahassee, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.