Organization Active NPI

Jojo Rehab Therapy. LLC.

  • Rehabilitation Clinic/Center
  • Largo, FL
National Provider Identifier
1306082276
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC10350 Issued in FL
Legal business name
JOJO REHAB THERAPY. LLC.
Practice address
10929 Ridge Rd
Largo, FL 33778-3747
Phone
(727) 682-0056
Fax
(727) 935-4844
NPI assigned
Dec 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Emelita M Vardeleon
Title
Administrator
Phone
(727) 682-0053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X HCC10350 FL Primary

Addresses

Primary practice location

10929 Ridge Rd
Largo, FL 33778-3747

Mailing address

3515 Palm Harbor BVLD.
Suite a
Palm Harbor, FL 34683-1416
Phone (727) 682-0056

Other practice location 1

1839 Central Ave
Ground Floor
St Petersburg, FL 33713-8900
Phone (727) 682-0056

National Provider Directory

National Provider Directory

Locations

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1306082276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 PALM HARBOR BVLD.",
            "address_2": "SUITE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831416",
            "telephone_number": "727-682-0056",
            "fax_number": "727-935-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 RIDGE RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783747",
            "telephone_number": "727-682-0056",
            "fax_number": "727-935-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Central Ave",
            "address_2": "Ground Floor",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337138900",
            "country_code": "US",
            "telephone_number": "727-682-0056",
            "fax_number": "727-935-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOJO REHAB THERAPY. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "VARDELEON",
        "authorized_official_first_name": "EMELITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-682-0053"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC10350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.