Active NPI
Body Rehab & Performance LLC
- Physical Therapist
- Eustis, FL
National Provider Identifier
1699460329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BODY REHAB & PERFORMANCE LLC
- Practice address
- 723 N Bay St
Eustis, FL 32726-2939 - Phone
- (321) 436-1095
- NPI assigned
- Apr 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael George Asbate, DPT
- Title
- Clinic Director
- Phone
- (321) 436-1095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
723 N Bay St
Eustis, FL 32726-2939
Mailing address
723 N Bay St
Eustis, FL 32726-2939
Phone (321) 436-1095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
723 N Bay St
Eustis, FL 32726
Phone (321) 436-1095
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Eustis, FL
- NPI 1730650953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681084800000",
"number": "1699460329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 N BAY ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327262939",
"telephone_number": "321-436-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 N BAY ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327262939",
"telephone_number": "321-436-1095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY REHAB & PERFORMANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "ASBATE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "321-436-1095",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.