NPIMap

Organization Active NPI

Rebound Rehabilitative Services Inc

Doing business as Rebound Rehabilitation

  • Physical Therapy Clinic/Center
  • Middleburg, FL
National Provider Identifier
1295561512
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REBOUND REHABILITATIVE SERVICES INC
Doing business as
Rebound Rehabilitation
Practice address
1821 Blanding Blvd Ste 2
Middleburg, FL 32068-3839
Phone
(904) 567-6621
Fax
(904) 587-1510
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Hemant Dasharathlal Patel, PTNPI 1326068586
Title
President
Phone
(904) 824-1636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1821 Blanding Blvd Ste 2
Middleburg, FL 32068-3839

Mailing address

105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159
Phone (904) 824-1636

Other names 1

  • Rebound Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295561512. Details of each certification follow.

  • CCN 696558 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 696558

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REBOUND REHABILITATIVE SERVICES INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 28, 2025
Last certification
Aug 28, 2025
Ownership / control type
Proprietary
Facility address
1821 Blanding Blvd Ste 2
Middleburg, FL 32068

National Provider Directory

National Provider Directory
Tax ID family
Rebound Rehabilitative Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1821 Blanding Blvd
Ste 2
Middleburg, FL 32068
Phone (904) 264-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1295561512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD STE B201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865159",
            "telephone_number": "904-824-1636",
            "fax_number": "904-824-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BLANDING BLVD STE 2",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683839",
            "telephone_number": "904-567-6621",
            "fax_number": "904-587-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND REHABILITATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMANT",
        "authorized_official_middle_name": "DASHARATHLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-824-1636",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebound Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.