Polk Rehabilitation Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

POLK REHABILITATION INC

Practice address

1326 State Road 60 E
Suite 200
Lake Wales, FL 33853-4322

Phone

(863) 679-3545

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Yolanda Luis Fuentes

Title

President

Phone

(786) 370-4835

Specialties & licenses 1

Addresses

Tax ID family

Polk Rehabilitation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Polk Rehabilitation Inc

  • Rehabilitation Practitioner
  • Lake Wales, FL
  • NPI 1740374073
  NPD tax ID

Practitioners 1

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

• Peter G Kalogridis II, MPT

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1730206467
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1376712307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 STATE ROAD 60 E",
            "address_2": "SUITE 200",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-679-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 STATE ROAD 60 E",
            "address_2": "SUITE 200",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-679-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "LUIS FUENTES",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-370-4835"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breasia Pipkin
• Stephen J Plumb, D.O.
• PM Radiology P L
• PM Radiology PL
• Podiatry Center PA
• Polk Rehabilitation Inc
• Eliany Ponce Benitez
• Carmen Del Rosario Ponce de Leon Rodriguez
• Matthew Isaac Povilaitis
• Preserva Therapy Group Inc

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.