Proactive Rehab,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6349 Issued in FL

Legal business name

PROACTIVE REHAB,LLC

Practice address

16057 Tampa Palm Blvd W. Suite#208
Tampa, FL 33647

Phone

(813) 440-7967

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Gillian Sadhi

Title

Ceo

Phone

(813) 440-7967

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1861994352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16057 TAMPA PALM BLVD W. SUITE#208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-440-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16057 TAMPA PALM BLVD W. SUITE#208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-440-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "SADHI",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-440-7967"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "6349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Christian Probst
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• Procision Vision, LLC
• Gary W. Procop, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.