Rehabilitation Center of St Petersburg Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REHABILITATION CENTER OF ST PETERSBURG INC

Practice address

435 42ND Ave S
St Petersburg, FL 33705-4504

Phone

(727) 822-1871

Fax

(727) 894-0836

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

John Earl Warren

Title

President

Phone

(727) 822-1871

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rehabilitation Center of St Pete Doing business as

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1215188263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 42ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054504",
            "telephone_number": "727-822-1871",
            "fax_number": "727-894-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 42ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054504",
            "telephone_number": "727-822-1871",
            "fax_number": "727-894-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CENTER OF ST PETERSBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-822-1871"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART A MEDICARE PROVIDER#",
            "identifier": "10 5772",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Center of St Pete",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Nicole Reeves, LCSW
• Janel Reeves, MS
• Reflection Psychology LLC
• Rehab RX Corp
• Rehab Therapy Outcomes LLC
• Carisa Chantal Rehbein
• Mohamed A Rehman, M.D.
• Ernest C Rehnke, M.D.
• Robert Dickerson Rehnke, M.D.
• Ethan Paul Reid, APRN

• Skilled Nursing Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.