NPIMap

Organization Active NPI

Rebound Rehabilitative Services Inc

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1417570326
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REBOUND REHABILITATIVE SERVICES INC
Practice address
5913 Normandy Blvd Ste 3
Jacksonville, FL 32205-6269
Phone
(904) 549-9500
Fax
(904) 549-9501
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Hemant Dasharathlal Patel, PTNPI 1326068586
Title
President
Phone
(904) 824-1636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5913 Normandy Blvd Ste 3
Jacksonville, FL 32205-6269

Mailing address

105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159
Phone (904) 824-1636

Other identifiers 2

IdentifierTypeStateIssuer
106714OtherFLPTAN
Q81OtherFLBCBS

National Provider Directory

National Provider Directory
Tax ID family
Rebound Rehabilitative Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1417570326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD STE B201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865159",
            "telephone_number": "904-824-1636",
            "fax_number": "904-824-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 NORMANDY BLVD STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056269",
            "telephone_number": "904-549-9500",
            "fax_number": "904-549-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND REHABILITATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMANT",
        "authorized_official_middle_name": "DASHARATHLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-824-1636",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "106714",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q81",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.