Universal Rehab, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

HCC7017 Issued in FL

Legal business name

UNIVERSAL REHAB, INC

Practice address

610 W Waters Ave Ste J
Tampa, FL 33604-2951

Phone

(813) 964-6863

Fax

(813) 964-6864

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Emmenuel G Acosta, M.D

Title

Owner

Phone

(813) 964-6863

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1679723613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W WATERS AVE STE J",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042951",
            "telephone_number": "813-964-6863",
            "fax_number": "813-964-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W WATERS AVE STE J",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042951",
            "telephone_number": "813-964-6863",
            "fax_number": "813-964-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "EMMENUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-964-6863",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC7017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Universal Coastal Care & Transports L.L.C.
• Universal Family Clinic LLC
• Universal Injured Center LLC
• Universal Spine & Joint Specialists, LLC
• Universal Transportation Management Inc
• University Community Hospital, Inc
• University Community Hospital, Inc
• University Community Hospital, Inc

• Rehabilitation Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.