RTL Rehab Clinic Inc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

RTL REHAB CLINIC INC

Practice address

2150 S Congress Ave
Palm Springs, FL 33406-7604

Phone

(561) 963-9001

Fax

(561) 963-5766

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos Rodriguez

Title

President

Phone

(561) 963-9001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821214826. Details of each certification follow.

• CCN 104820 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 104820

Legal name

RTL REHAB CLINIC INC

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Feb 8, 1996

Last certification

Jul 27, 2023

Ownership / control type

Proprietary

Facility address

2150 S Congress Ave
West Palm Beach, FL 33406

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821214826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OHIO RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674821",
            "telephone_number": "561-963-9001",
            "fax_number": "561-963-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067604",
            "telephone_number": "561-963-9001",
            "fax_number": "561-963-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTL REHAB CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-963-9001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Ronda Gonzalez, RBT
• Thomas Rondeau, PHARMD
• Rosa Roofeh, M.D.
• Odette Rosier
• Josephine Rothenberger, RPH
• Lina Rubiano
• Magaly Rubio Rodriguez
• Ruel T Stoessel MD PA
• Dalma Ruiz Candelario
• Edgardo Ruiz

• Rehabilitation Hospital Unit in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Rehabilitation Hospital Unit 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.