Red River Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PT013762 Issued in FL

Legal business name

RED RIVER REHABILITATION

Practice address

549 Sky Harbor Drive,
Clearwater, FL 33759

Phone

(727) 724-6828

NPI assigned

Dec 12, 2012

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Suvarna P Kulkarni, MASTERS

Title

Physical Therapist

Phone

(727) 724-6828

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Red River Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Red River Rehabilitation

  • Skilled Nursing Facility
  • Clearwater, FL
  • NPI 1174868509
  NPD tax ID
• Red River Rehabilitation, Inc.

  • Physical Therapist
  • Madill, OK
  • NPI 1447219001
  NPD tax ID

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1336485762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734460831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 SKY HARBOR DRIVE,",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759",
            "telephone_number": "727-724-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "SUVARNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "727-724-6828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTERS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PT013762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING FACILITY",
            "identifier": "1972695039",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Rebein, ARNP
• Darlene Recker, D.O.
• Recovery Epicenter
• Tania Recuero Litwin
• Red River Rehabilitation
• Erin Reddy
• Pranav Reddy, MD
• Brittney Leigh Redenius, COTA
• Elissa Redix, RBT
• Tameckia Reece, APRN

• Skilled Nursing Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.