NPIMap

Organization Active NPI

TLC Rehab, LLC

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1659340222
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TLC REHAB, LLC
Practice address
5481 SW 60TH Street
Suite 102
Ocala, FL 34471-5638
Phone
(352) 873-1122
Fax
(352) 873-6841
NPI assigned
Mar 16, 2006
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Mrs. Dreama M Waldrop, PT
Title
President/Owner
Phone
(352) 382-7214

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X FL
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

5481 SW 60TH Street
Suite 102
Ocala, FL 34471-5638

Mailing address

PO Box 741708
Atlanta, GA 30374-1708
Phone (352) 382-7214

Other identifiers 1

IdentifierTypeStateIssuer
883054101MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219001672 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4284537952 2 other NPIs on this enrollment
Practice locations: Ocala, FL; Summerfield, FL

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
TLC Rehab LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

6778 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 795-6225

5481 SW 60th St
Ocala, FL 34474
Phone (352) 425-0385

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1659340222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741708",
            "telephone_number": "352-382-7214",
            "fax_number": "352-382-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 SW 60TH STREET",
            "address_2": "SUITE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715638",
            "telephone_number": "352-873-1122",
            "fax_number": "352-873-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "DREAMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-382-7214",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883054101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.