Rehab Frontier, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REHAB FRONTIER, LLC

Practice address

2027 State Road 60 E
Lake Wales, FL 33898-5113

Phone

(863) 678-1557

Fax

(863) 582-9279

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Lowell S Liwanag, RPT, WCC, CWS

Title

Chief Manager

Phone

(863) 605-3681

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Sherly P Geonzon, RPT

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1437175809
  NPD (past)
• Lorinda C Grajo, PT

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1770694333
  NPD (past)
• Gladys S Quizon, RPT

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1912923384
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1285650648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338591168",
            "telephone_number": "863-678-1557",
            "fax_number": "863-582-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338985113",
            "telephone_number": "863-678-1557",
            "fax_number": "863-582-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB FRONTIER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "LIWANAG",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "863-605-3681",
        "authorized_official_credential": "RPT, WCC, CWS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL PROVIDER NUMBER",
            "identifier": "Y922K",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Real Asset Solutions Technologies & Investments LLC
• Jackson Steven Reddick, DMD
• Jacqueline Reddick
• Steven Douglas Reddick, D.M.D.
• Brenda Gail Register, RN
• Rehab Health Partners Lake Wales
• Rehab Specialists Inc. - Winter Haven
• Rocio Resuche I, SLPA
• RGC Diagnostic
• Ricardo Navarro D.O., P.a.

• Physical Therapist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.