Rowena Badenhorst, R.P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT0010746 Issued in FL

Practice address

1221 W Stratford Rd
Avon Park, FL 33825-8091

Phone

(863) 453-3701

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Physical Therapy Care

  • Physical Medicine & Rehabilitation Physician
  • Avon Park, FL
  • NPI 1538123682
  NPD (past) Authorized official
• Highlands Occupational Therapy, Inc

  • Occupational Therapist
  • Lakeland, FL
  • NPI 1356899397
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1295799344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 PEBBLE BEACH DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721731",
            "telephone_number": "863-453-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W STRATFORD RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258091",
            "telephone_number": "863-453-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADENHORST",
        "first_name": "ROWENA",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT0010746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y6810",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avon Park Pediatrics, Inc.
• Avon Park Royal Holdings LLC
• Daniel Abraham Ayala Rivera, PTA
• Bruno Brown Azamegbe
• Mariela Bacerio Lara, PMHNP-BC
• Holly Marie Bailey, LCSW
• Kysi Bailey
• Tesha Lee Baker, ARNP
• Marisol Benavides
• Debbie Benjamin

• Physical Medicine & Rehabilitation Physician in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.