Spectrum Rehabilitation and Wellness Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SPECTRUM REHABILITATION AND WELLNESS INC.

Practice address

341 N Maitland Ave Ste 290
Maitland, FL 32751-4761

Phone

(321) 295-7170

Fax

(321) 697-7002

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Manuel Vicente Medina

Title

Owner

Phone

(407) 587-9580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Comprehensive outpatient rehabilitation facility certification: CCN 683238

Legal name

SPECTRUM REHABILITATION & WELLNESS INC

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Apr 20, 2006

Last certification

Sep 5, 2018

Ownership / control type

Proprietary

Facility address

341 N Maitland Ave Ste 290
Maitland, FL 32751

Locations

Practitioners 1

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

• Nader Hanna Wahba, PT

  • Physical Therapist
  • Kissimmee, FL
  • NPI 1629287693
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1679511364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 290",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "321-295-7170",
            "fax_number": "321-697-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 290",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "321-295-7170",
            "fax_number": "321-697-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM REHABILITATION AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "VICENTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-587-9580"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solutions Counseling & Consulting Inc
• Liberty A Sordia
• Demittre Andre Anthony Sorenson, PA-C
• Aida Iris Soto, OT
• Spectrum Learner Lab, LLC
• Speech & Language Pathology of C. FL., Inc
• Gharland Arno Spence Jr.
• Dawn Renee Spencer, LMHC
• Randiesa Spires-Adams, LCSW
• Elinor Splitter, LCSW

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Maitland, FL
• Providers in Maitland, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.