Northeast Rebound Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NORTHEAST REBOUND PHYSICAL THERAPY INC

Practice address

148 Prince Phillip Dr
Saint Augustine, FL 32092-1746

Phone

(904) 333-9221

NPI assigned

May 19, 2014

Last updated

May 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rommel Adolfo Marson, PHYSICAL THERAPISTNPI 1417376054

Title

Physical Therapist/Owner

Phone

(904) 333-9221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rommel Marson

  • Physical Therapist
  • St Augustine, FL
  • NPI 1417376054
  Authorized official Same address or phone

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1891106241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 PRINCE PHILLIP DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921746",
            "telephone_number": "904-333-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 PRINCE PHILLIP DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921746",
            "telephone_number": "904-333-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST REBOUND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "MARSON",
        "authorized_official_first_name": "ROMMEL",
        "authorized_official_middle_name": "ADOLFO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "904-333-9221",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northland Hearing Centers, Inc. (US Hearing Centers)
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• John Randall Northrup, D.P.M.
• Tod Northrup, D.O.
• Matthew Nova

• Physical Therapy Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.