Organization Active NPI

Florida Rehab Care

  • Physical Therapy Clinic/Center
  • Haines City, FL
National Provider Identifier
1902857949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1290005586 Issued in FL
Legal business name
FLORIDA REHAB CARE
Practice address
306 S 10TH St
Haines City, FL 33844-5619
Phone
(863) 422-9060
Fax
(863) 422-0035
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dwight Alexander Angelito
Title
Office Manager
Phone
(863) 422-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1290005586 FL Primary

Addresses

Primary practice location

306 S 10TH St
Haines City, FL 33844-5619

Mailing address

306 S 10TH St
Haines City, FL 33844-5619
Phone (863) 422-9060

National Provider Directory

National Provider Directory

Locations

100 W Bay St
Davenport, FL 33837
Phone (863) 422-9060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902857949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445619",
            "telephone_number": "863-422-9060",
            "fax_number": "863-422-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445619",
            "telephone_number": "863-422-9060",
            "fax_number": "863-422-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA REHAB CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGELITO",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "863-422-9060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "1290005586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.