Organization Active NPI

Rehab Specialists Inc. - Winter Haven

  • Physical Therapy Clinic/Center
  • Lake Wales, FL
National Provider Identifier
1811149982
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT6404 Issued in FL
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

Updated by the provider on Oct 21, 2008

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)CodeLicenseStatePrimary
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 Haven2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.