Organization Active NPI

Jakubowski Sports Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Winter Springs, FL
National Provider Identifier
1790305209
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JAKUBOWSKI SPORTS REHABILITATION, LLC
Doing business as
Jakubowski Sports Rehabilitation
Practice address
1085 Belle Ave
Winter Springs, FL 32708-2961
Phone
(407) 718-0437
Fax
(321) 710-7185
NPI assigned
Apr 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Rachel Jakubowski, PT, DPT, SCSNPI 1780092809
Title
Owner, Physical Therapist
Phone
(407) 718-0437

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1085 Belle Ave
Winter Springs, FL 32708-2961

Mailing address

4370 Daubert Street
Orlando, FL 32803

Other names 1

  • Jakubowski Sports Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

1085 Belle Ave
Winter Springs, FL 32708
Phone (407) 718-0437

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1790305209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 DAUBERT STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 BELLE AVE",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082961",
            "telephone_number": "407-718-0437",
            "fax_number": "321-710-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKUBOWSKI SPORTS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "JAKUBOWSKI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-718-0437",
        "authorized_official_credential": "PT, DPT, SCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jakubowski Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.