NPIMap

Organization Active NPI

Rebound Rehabilitative Services Inc

  • Physical Therapy Clinic/Center
  • St. Augustine, FL
National Provider Identifier
1477510907
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
105 Southpark Blvd.
Suite B201
St. Augustine, FL 32086
Phone
(904) 824-1636
Fax
(904) 824-7488
NPI assigned
Apr 27, 2006
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 D. 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

105 Southpark Blvd.
Suite B201
St. Augustine, FL 32086

Mailing address

105 Southpark Blvd.
Suite B201
St. Augustine, FL 32086
Phone (904) 824-1636

Other identifiers 2

IdentifierTypeStateIssuer
106714OtherFLMEDICARE PTAN
Q81OtherFLBCBS OF FL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100929001550 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8224154935 Practice locations: Jacksonville, FL; St. Augustine, FL; Orange Park, FL; Jacksonville Beach, FL
O20250204003883 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8224154935 Practice locations: Middleburg, FL

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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5913 Normandy Blvd
Ste 3
Jacksonville, FL 32205
Phone (904) 549-9500

1751 University Blvd S
Jacksonville, FL 32216
Phone (904) 903-2755

8262 Point Meadows Dr
Jacksonville, FL 32256
Phone (904) 265-4320

904 Park Ave
#2
Orange Park, FL 32073
Phone (904) 420-3915

397 Palm Coast Pkwy SW
Unit 5
Palm Coast, FL 32137
Phone (386) 283-4655

Practitioners & affiliated clinicians

Practitioners 8

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1477510907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD.",
            "address_2": "SUITE B201",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "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": "105 SOUTHPARK BLVD.",
            "address_2": "SUITE B201",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-824-1636",
            "fax_number": "904-824-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND REHABILITATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "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": "D.",
        "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": "MEDICARE PTAN",
            "identifier": "106714",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Q81",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Augustine, 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.
  • 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.