Tri County Rehab Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

HCC8795 Issued in FL

Legal business name

TRI COUNTY REHAB SERVICES, LLC

Practice address

11531 SE US Hwy 301
Belleview, FL 34420-4429

Phone

(352) 307-0105

Fax

(352) 307-1024

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael Crimi Jr., P.A.

Title

Manager/Owner

Phone

(352) 427-8680

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tri County Rehab Services, Inc. (replace with 1. above) Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula D Harris, PT

  • Orthopedic Physical Therapist
  • Leesburg, FL
  • NPI 1831319391
  NPD (past)
• Stella H Nemuseso, DPT

  • Physical Therapist
  • Ocala, FL
  • NPI 1932307857
  NPD (past)

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1265757504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10762 SE US HWY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-307-0105",
            "fax_number": "352-307-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 SE US HWY 301",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204429",
            "telephone_number": "352-307-0105",
            "fax_number": "352-307-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "CRIMI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "352-427-8680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC8795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003304300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PTAN#",
            "identifier": "CZ758A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri County Rehab Services, Inc. (replace with 1. above)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Peyton Thornal
• Moesha Deandrea Thurman
• Andrea Tobon, M.S. BCBA
• Christina Trauthwein, PTA
• Lorie Anne Travis, RBT
• Robert Curtis Truett Jr., PTA
• Jenenne R Valentino-Bottaro, LMHC
• Joshua Vaughan
• Hermione Ivette Velez-Maisonet
• Gloria Vera

• Physical Therapy Clinic/Center in Belleview, FL
• Providers in Belleview, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.