The Villages Rehabilitation Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

THE VILLAGES REHABILITATION SERVICES LLC

Doing business as

Lake Centre for Rehabilitation at the Villages

Practice address

1400 N US Highway 441
Building 800, Suite 830
Lady Lake, FL 32159-8975

Phone

(352) 753-6999

Fax

(352) 259-0002

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Goldstein

Title

Vice Pres

Phone

(352) 728-6636

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lake Centre for Rehabilitation at the Villages Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407922735. Details of each certification follow.

• CCN 686584 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 686584

Legal name

LAKE CENTRE FOR REHABILITATION AT THE VILLAGES

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Aug 27, 1999

Last certification

Jan 28, 2025

Ownership / control type

Proprietary

Facility address

1400 US Hwy 441 N
Lady Lake, FL 32159

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Villages Rehabilitation Services LLC

  dba Lake Centre for Rehabilitation at the Villages

  • Rehabilitation Clinic/Center
  • The Villages, FL
  • NPI 1134749849

  7113831686

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Florida Physical Therapy & Rehabilitative Services Inc

  dba Lake Centre for Rehabilitation

  • Rehabilitation Clinic/Center
  • Leesburg, FL
  • NPI 1417023730

  Member Of

  NPD member

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 43

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.

• Sheryl A Smith, PTA

  • Physical Therapy Assistant
  • Clearwater, FL
  • NPI 1578781373
  NPD
• William Lake Bandy, DPT

  • Physical Therapist
  • The Villages, FL
  • NPI 1023739927
  NPD (past)
• Kelley Barth, PT

  • Physical Therapist
  • The Villages, FL
  • NPI 1659683787
  NPD (past)
• Sarah Elizabeth Bex, SLP

  • Speech-Language Pathologist
  • The Villages, FL
  • NPI 1831805704
  NPD (past)
• Kaitlyn Burke, OTD

  • Occupational Therapist
  • The Villages, FL
  • NPI 1063256766
  NPD (past)
• Tracey Lynne Estok, PT

  • Physical Therapist
  • Tavares, FL
  • NPI 1013121821
  NPD (past)
• Talia Estrada, DPT

  • Physical Therapist
  • Leesburg, FL
  • NPI 1346726270
  NPD (past)
• Filamae Garnica

  • Physical Therapist
  • Ocala, FL
  • NPI 1346642022
  NPD (past)
• Jennifer Goldstein Gelb, M. S. CCC-SLP

  • Speech-Language Pathologist
  • Leesburg, FL
  • NPI 1912168170
  NPD (past)
• Tracey Alison Goldstein-Marquez, PT

  • Physical Therapist
  • Leesburg, FL
  • NPI 1740301076
  NPD (past)
• Megan E Holmes, DPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1376267351
  NPD (past)
• Makinsey Holt, MA CCC-SLP

  • Speech-Language Pathologist
  • The Villages, FL
  • NPI 1770215899
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1407922735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491313",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491313",
            "telephone_number": "352-728-6636",
            "fax_number": "352-787-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "BUILDING 800, SUITE 830",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-753-6999",
            "fax_number": "352-259-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGES REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "VICE PRES",
        "authorized_official_telephone_number": "352-728-6636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G9V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Centre for Rehabilitation at the Villages",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Centre for Rehabilitation at the Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberto A Tellez, PHARM D.
• The Fernandez Martinez Management, LLC
• The Springs Lady Lake Assisted Living Facility and Rehab LLC
• The Villages Internal Medicine and Geriatrics
• The Villages Nursing and Rehab LLC (The Villages Healthcare and Rehabilitation Center)
• Jeffrey R Thill, M.D.
• Kelsie Thomas
• Matthew Thompson, PA-C
• Hina Aslam Ticknor
• TLC ASC, LLC

• Rehabilitation Clinic/Center in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.