Issa Rehab Services Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08999 Issued in FL

Legal business name

ISSA REHAB SERVICES CORPORATION

Practice address

4126 Hemingway Drive
Venice, FL 34293-5248

Phone

(941) 497-5356

Fax

(941) 496-4059

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Dolores De la Ossa, P.T.NPI 1205054251

Title

Physical Therapist

Phone

(941) 497-5356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Patricia Dolores De la Ossa, P.T.

  • Physical Therapist
  • Venice, FL
  • NPI 1205054251
  Medicare reassignment NPD Authorized official
• Raymond Dizon Cordero, PT

  • Physical Therapist
  • Englewood, FL
  • NPI 1659548519
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780896282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 HEMINGWAY DRIVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935248",
            "telephone_number": "941-497-5356",
            "fax_number": "941-496-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 HEMINGWAY DRIVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935248",
            "telephone_number": "941-497-5356",
            "fax_number": "941-496-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSA REHAB SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE LA OSSA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "941-497-5356",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "08999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.