NPIMap

Organization Active NPI

Rehab 1of Charlotte County, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Port Charlotte, FL
National Provider Identifier
1699866988
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
REHAB 1OF CHARLOTTE COUNTY, INC.
Practice address
4166 Tamiami TRL
Suite a
Port Charlotte, FL 33952-9209
Phone
(941) 766-1110
Fax
(941) 766-1190
NPI assigned
Sep 28, 2006
Last updated
Oct 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Mrs. Christine Hizon
Title
Office Manager
Phone
(941) 766-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

4166 Tamiami TRL
Suite a
Port Charlotte, FL 33952-9209

Mailing address

4166 Tamiami TRL
Suite a
Port Charlotte, FL 33952-9209
Phone (941) 766-1110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207001194 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3476740192 Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

4166 Tamiami Trl
Ste A
Port Charlotte, FL 33952
Phone (941) 766-1110

Practitioners & affiliated clinicians

Practitioners 11

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1699866988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 TAMIAMI TRL",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529209",
            "telephone_number": "941-766-1110",
            "fax_number": "941-766-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 TAMIAMI TRL",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529209",
            "telephone_number": "941-766-1110",
            "fax_number": "941-766-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB 1OF CHARLOTTE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "HIZON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-766-1110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.