Active NPI
Rehab Specialists Inc. - Winter Haven
- Physical Therapy Clinic/Center
- Lake Wales, FL
National Provider Identifier
1811149982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT6404
- Legal business name
- REHAB SPECIALISTS INC. - WINTER HAVEN
- Practice address
- 435 S 11TH St
Lake Wales, FL 33853-4250 - Phone
- (863) 678-9878
- Fax
- (863) 678-9879
- NPI assigned
- Oct 21, 2008
- 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
- Mr. Ace Sterling Roxas Medina, OTR/L
- Title
- Human Resources
- Phone
- (863) 678-9878
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT5986 | FL | |
| Physical Therapy Clinic/Center | 261QP2000X | OT5262 | FL | |
| Physical Therapy Clinic/Center | 261QP2000X | PT6404 | FL | Primary |
Addresses
Primary practice location
435 S 11TH St
Lake Wales, FL 33853-4250
Mailing address
435 S 11TH St
Lake Wales, FL 33853-4250
Phone (863) 678-9878
National Provider Directory
National Provider Directory- Tax ID family
- Rehab Specialists Inc - Winter Haven
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Lakeland, FL
- NPI 1477682516
Locations
435 S 11th St
Lake Wales, FL 33853
Phone (863) 674-3405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1811149982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 S 11TH ST",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534250",
"telephone_number": "863-678-9878",
"fax_number": "863-678-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 S 11TH ST",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534250",
"telephone_number": "863-678-9878",
"fax_number": "863-678-9879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB SPECIALISTS INC. - WINTER HAVEN",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "ACE STERLING",
"authorized_official_middle_name": "ROXAS",
"authorized_official_title_or_position": "HUMAN RESOURCES",
"authorized_official_telephone_number": "863-678-9878",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT5986",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "OT5262",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT6404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.