NPIMap

Organization Active NPI

Summerfield Rehabilitation Specialists

  • Physical Therapist
  • Summerfield, FL
National Provider Identifier
1154574531
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMERFIELD REHABILITATION SPECIALISTS
Practice address
17820 SE 109TH Ave
Suite 105B
Summerfield, FL 34491-8968
Phone
(352) 693-2152
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mr. Manuel R Zayas III, RPTNPI 1669473930
Title
President
Phone
(352) 693-2152

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

17820 SE 109TH Ave
Suite 105B
Summerfield, FL 34491-8968

Mailing address

17820 SE 109TH Ave
Suite 105B
Summerfield, FL 34491-8968
Phone (352) 693-2152

Other names 1

  • Florida Rehabilitation Specialist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1154574531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "address_2": "SUITE 105B",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-693-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "address_2": "SUITE 105B",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-693-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERFIELD REHABILITATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "ZAYAS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-693-2152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Rehabilitation Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.