Functional Rehab Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT7249 Issued in FL

Legal business name

FUNCTIONAL REHAB INC

Practice address

123 US 27 S
Lake Placid, FL 33852-7918

Phone

(863) 441-1226

Fax

(863) 465-7790

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Noster R Villamor, RPTNPI 1952634461

Title

Physical Therapist

Phone

(863) 441-1226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noster Villamor, R.P.T.

  • Physical Medicine & Rehabilitation Physician
  • Lake Placid, FL
  • NPI 1952634461

  FL

  Medicare reassignment NPD Authorized official
• Fe Vasquez Tan, PHYSICAL THERAPIST

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1134371727
  NPD

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1609103993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 US 27 S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527918",
            "telephone_number": "863-441-1226",
            "fax_number": "863-465-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 US 27 S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527918",
            "telephone_number": "863-441-1226",
            "fax_number": "863-465-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "VILLAMOR",
        "authorized_official_first_name": "NOSTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "863-441-1226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT7249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Delbert Fioramanti, APRN
• Eduardo Enrique Florez
• Florida Community Home Care Services LLC
• Florida Radiology Management LLC
• Diana Faye Folkner
• Gahc4 Balmoral FL TRS Sub, LLC
• Gary Pearce MD PA
• Christopher Wayne Gentilcore, PTA
• Gifted Hearts Home Care LLC
• Gigi'S Fresh Products LLC

• All providers in Lake Placid, FL
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.