Active NPI
Suncrest Outpatient Rehab Services of TN, LLC
- Physical Therapist
- Hermitage, TN
National Provider Identifier
1245467471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SUNCREST OUTPATIENT REHAB SERVICES OF TN, LLC
- Practice address
- 4131 Andrew Jackson Pkwy
Hermitage, TN 37076-2270 - Phone
- (615) 612-7602
- Fax
- (615) 612-7695
- NPI assigned
- Jun 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Robin A Cohen
- Title
- Director of Regulatory Affairs
- Phone
- (954) 707-5880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4131 Andrew Jackson Pkwy
Hermitage, TN 37076-2270
Mailing address
11555 Heron Bay Blvd
Suite 100
Coral Springs, FL 33076-3360
Phone (954) 707-5880
Other names 1
- SunCrest Rehab Services
National Provider Directory
National Provider DirectoryLocations
11555 Heron Bay Blvd
Ste 100
Coral Springs, FL 33076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311552000000",
"number": "1245467471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 HERON BAY BLVD",
"address_2": "SUITE 100",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330763360",
"telephone_number": "954-707-5880",
"fax_number": "954-753-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 ANDREW JACKSON PKWY",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762270",
"telephone_number": "615-612-7602",
"fax_number": "615-612-7695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCREST OUTPATIENT REHAB SERVICES OF TN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-15",
"last_updated": "2011-07-25",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR OF REGULATORY AFFAIRS",
"authorized_official_telephone_number": "954-707-5880",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SunCrest Rehab Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.