Prime Movers Rehab, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

9288 Issued in FL

Legal business name

PRIME MOVERS REHAB, INC.

Practice address

1091 Port Malabar Blvd NE Ste 2
Palm Bay, FL 32905-5100

Phone

(321) 674-9659

Fax

(321) 674-9659

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lovena Suson-Aganon, P.T.

Title

President / Clinical Director

Phone

(321) 674-9659

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lovena Suson, P.T.

  • Physical Therapist
  • Palm Bay, FL
  • NPI 1245430768
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1114127511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 PINE WALK CT NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054450",
            "telephone_number": "321-674-9659",
            "fax_number": "321-674-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 PORT MALABAR BLVD NE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055100",
            "telephone_number": "321-674-9659",
            "fax_number": "321-674-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MOVERS REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "SUSON-AGANON",
        "authorized_official_first_name": "LOVENA",
        "authorized_official_title_or_position": "PRESIDENT / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "321-674-9659",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "9288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theotis Pressley
• Prestige Place Alf LLC
• Prestige Place Alf LLC
• Prevention X, LLC (Bayside Lakes Family Pharmacy)
• Nadine Price
• Coralie Prince, RN
• Sharma Jo Privett
• Privia Medical Group Florida LLC (Jeffrey T. O'Brien, MD, Inc. DBA The Orthopedic Center)
• Vikash Priyadarshi, MD
• Proclaim Communication and Rehabilitation Services, LLC

• Physical Therapy Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.