Active NPI
TLC Rehab, Inc.
- Physical Therapist
- Jensen Beach, FL
National Provider Identifier
1982053328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- TLC REHAB, INC.
- Practice address
- 1537 NE Cedar St
Jensen Beach, FL 34957-4808 - Phone
- (772) 332-1000
- Fax
- (352) 382-7781
- NPI assigned
- Jun 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dreama M Waldrop, PT
- Title
- President/Owner
- Phone
- (352) 382-7214
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1537 NE Cedar St
Jensen Beach, FL 34957-4808
Mailing address
PO Box 741708
Atlanta, GA 30374-1708
Phone (352) 382-7214
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578528000000",
"number": "1982053328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741708",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741708",
"telephone_number": "352-382-7214",
"fax_number": "352-382-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 NE CEDAR ST",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349574808",
"telephone_number": "772-332-1000",
"fax_number": "352-382-7781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC REHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A",
"authorized_official_last_name": "WALDROP",
"authorized_official_first_name": "DREAMA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "352-382-7214",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jensen Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.