NPIMap

Organization Active NPI

H2 Rehabilitation Services of Florida LLC

Doing business as Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • Indian Harbour Beach, FL
National Provider Identifier
1417775784
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
H2 REHABILITATION SERVICES OF FLORIDA LLC
Doing business as
Beachside Physical Therapy
Practice address
660 E Eau Gallie Blvd Ste 106
Indian Harbour Beach, FL 32937-4256
Phone
(321) 773-5290
NPI assigned
Sep 26, 2024
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Amanda Streeter
Title
Chief Administrative Officer
Phone
(800) 699-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

660 E Eau Gallie Blvd Ste 106
Indian Harbour Beach, FL 32937-4256

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Other names 1

  • Beachside Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241114002617 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3971411851 3 other NPIs on this enrollment
Practice locations: Indian Harbour Beach, FL; West Melbourne, FL; Melbourne, FL
O20250702000834 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971411851 Receives reassigned benefits from 10 practitioners
3 other NPIs on this enrollment
Practice locations: Indian Harbour Beach, FL; Melbourne, FL; West Melbourne, FL

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
H2 Health41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1417775784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD STE 106",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374256",
            "telephone_number": "321-773-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2 REHABILITATION SERVICES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.