Rehab Lab Davie

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REHAB LAB DAVIE

Practice address

4801 SW 148TH Ave
Davie, FL 33330-2129

Phone

(954) 804-2865

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Enrique Gomez

Title

Owner and Director of Operations

Phone

(786) 879-4209

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.

• Natalie Mashkevich

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1639852197

  Single Specialty

  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1962108258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 SW 88TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765935",
            "telephone_number": "954-804-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "954-804-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB LAB DAVIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "786-879-4209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recruiting Management Services, Inc.
• Alaa Kamil Redwan, BDS
• Joshua Marshall Reed, OD
• Kimberly Kay Reed, O.D.
• Regency Optical Corp
• Lewis N Reich, O.D.
• Mervin Reid
• Matthew Allen Reik, PHARMD
• Laura Victoria Reillo Arjemi
• Morgan Reilly

• Physical Therapy Clinic/Center in Davie, FL
• Providers in Davie, 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 Mar 11, 2024; 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.