Active NPI
Rehab Kinetics Inc
- Physical Therapist
- Brooksville, FL
National Provider Identifier
1417007725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0010736
- Legal business name
- REHAB KINETICS INC
- Practice address
- 11535 Cortez Blvd
Brooksville, FL 34613-7373 - Phone
- (352) 592-0010
- Fax
- (352) 592-0011
- NPI assigned
- Jan 11, 2007
- Last updated
- Jan 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Ilagan, RPT
- Title
- Owner
- Phone
- (352) 592-0010
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0010736 | FL | Primary |
| Physical Therapist | 225100000X | PT13514 | FL | |
| Physical Therapist | 225100000X | PT21267 | FL | |
| Physical Therapy Assistant | 225200000X | PTA19025 | FL | |
| Physical Therapy Assistant | 225200000X | PTA1172 | FL | |
| Physical Therapy Assistant | 225200000X | PTA20103 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA3137 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA8079 | FL | |
| Speech-Language Pathologist | 235Z00000X | SZ3883 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA556 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA3315 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA3275 | FL | |
| Speech-Language Pathologist | 235Z00000X | SZ2535 | FL |
Addresses
Primary practice location
11535 Cortez Blvd
Brooksville, FL 34613-7373
Mailing address
11535 Cortez Blvd
Brooksville, FL 34613-7373
Phone (352) 592-0010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QS4 | Other | FL | BCBS GROUP NUMBER |
| 886048300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
11535 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-0010
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Speech-Language Pathologist
- Brooksville, FL
- NPI 1770732315
-
- Speech-Language Pathologist
- Brooksville, FL
- NPI 1518116169
-
- Physical Therapy Assistant
- Brooksville, FL
- NPI 1336398973
-
- Physical Medicine & Rehabilitation Physician
- Brooksville, FL
- NPI 1750807509
-
- Occupational Therapist
- Searcy, AR
- NPI 1831348499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1417007725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11535 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346137373",
"telephone_number": "352-592-0010",
"fax_number": "352-592-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11535 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346137373",
"telephone_number": "352-592-0010",
"fax_number": "352-592-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB KINETICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "ILAGAN",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-592-0010",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT0010736",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT13514",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21267",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA19025",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA1172",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA20103",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA3137",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8079",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ3883",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA556",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA3315",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA3275",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ2535",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "QS4",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886048300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.