Organization Active NPI

Rehab Clinics of America, LLC

Doing business as Rehab Clinic of Deland

  • Chiropractor
  • Deland, FL
National Provider Identifier
1619163482
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9417 Issued in FL
Legal business name
REHAB CLINICS OF AMERICA, LLC
Doing business as
Rehab Clinic of Deland
Practice address
505 E New York Ave
Suite 8
Deland, FL 32724-6083
Phone
(386) 734-3795
NPI assigned
Sep 14, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. Charles Annunziata, D.C.NPI 1063602936
Title
Manager
Phone
(856) 275-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9417 FL Primary

Addresses

Primary practice location

505 E New York Ave
Suite 8
Deland, FL 32724-6083

Mailing address

3651 Peachtree Pkwy
Suite E #312
Suwanee, GA 30024-6034
Phone (678) 791-1916

Other names 1

  • Rehab Clinic of Deland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rehab Clinic of Deland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

505 E New York Ave
Ste 8
Deland, FL 32724
Phone (386) 734-3795

Practitioners & affiliated clinicians

Practitioners 2

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1619163482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 PEACHTREE PKWY",
            "address_2": "SUITE E #312",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246034",
            "telephone_number": "678-791-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E NEW YORK AVE",
            "address_2": "SUITE 8",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327246083",
            "telephone_number": "386-734-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB CLINICS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "ANNUNZIATA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-275-1325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Clinic of Deland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.