NPIMap

Organization Active NPI

Leesburg Rehabilitation Specialists

Doing business as Florida Rehabilitation Specialist

  • Physical Therapist
  • Leesburg, FL
National Provider Identifier
1154588044
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LEESBURG REHABILITATION SPECIALISTS
Doing business as
Florida Rehabilitation Specialist
Practice address
33006 Professional Dr
Suite 101
Leesburg, FL 34788-7509
Phone
(352) 751-6627
NPI assigned
May 19, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mr. Wencester Canal, PTNPI 1861686149
Title
Co-Owner
Phone
(352) 751-6627

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

33006 Professional Dr
Suite 101
Leesburg, FL 34788-7509

Mailing address

33006 Professional Dr
Suite 101
Leesburg, FL 34788-7509
Phone (352) 751-6627

Other names 1

  • Florida Rehabilitation Specialist Doing business as

National Provider Directory

National Provider Directory

Locations

33006 Professional Dr
Ste 101
Leesburg, FL 34788
Phone (352) 751-6627

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1154588044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33006 PROFESSIONAL DR",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887509",
            "telephone_number": "352-751-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33006 PROFESSIONAL DR",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887509",
            "telephone_number": "352-751-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG REHABILITATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "CANAL",
        "authorized_official_first_name": "WENCESTER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-751-6627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "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 Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.