Organization Active NPI

Rehabxperience LLC

  • Physical Therapy Clinic/Center
  • Plantation, FL
National Provider Identifier
1922100767
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 0006687 Issued in FL
Legal business name
REHABXPERIENCE LLC
Practice address
350 NW 70TH Ave Ste a
Plantation, FL 33317-2349
Phone
(954) 741-2221
Fax
(954) 741-2155
NPI assigned
Sep 2, 2006
Last updated
Oct 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
Mr. Ofer Amit
Title
Managing Member and Ceo
Phone
(954) 741-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 0006687 FL Primary

Addresses

Primary practice location

350 NW 70TH Ave Ste a
Plantation, FL 33317-2349

Mailing address

350 NW 70TH Ave Ste a
Plantation, FL 33317-2349
Phone (954) 741-2221

Other practice location 1

3529 N Pine Island Rd
Sunrise, FL 33351-6638
Phone (954) 741-2221

Other identifiers 1

IdentifierTypeStateIssuer
Y080QOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050812000642 FL Part B Supplier - Clinic/Group Practice 7315977030 Receives reassigned benefits from 3 practitioners
Practice locations: Plantation, FL; Tamarac, FL

National Provider Directory

National Provider Directory

Locations

3529 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 741-2221

6471 W Commercial Blvd
Tamarac, FL 33319
Phone (954) 741-2221

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1922100767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 70TH AVE STE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172349",
            "telephone_number": "954-741-2221",
            "fax_number": "954-741-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 70TH AVE STE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172349",
            "telephone_number": "954-741-2221",
            "fax_number": "954-741-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3529 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516638",
            "country_code": "US",
            "telephone_number": "954-741-2221",
            "fax_number": "954-741-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHABXPERIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "AMIT",
        "authorized_official_first_name": "OFER",
        "authorized_official_title_or_position": "MANAGING MEMBER AND CEO",
        "authorized_official_telephone_number": "954-741-2221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 0006687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y080Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.