Organization Active NPI

Suncrest Outpatient Rehab Services of TN, LLC

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1245467471
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 25, 2011

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.