SOLARIS REHAB, LLC (NPI# 1215396007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215396007 |
| Entity Type | Organization |
| Organization Name | SOLARIS REHAB, LLC |
| Practice Address |
1414 69th Ave W Bradenton FL 34207-5834 |
| Mailing Address |
Po Box 2386 Bonita Springs FL 34133-2386 |
| Practice Telephone | 8442347289 |
| Mailing Telephone | 2395142310 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | DAVID BOERKOEL (PRESIDENT) |
| Authorized Official Telephone | 2395142310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 686901 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891963 | Solaris Rehab, LLC | Clinic/Center | 7901 Radio Rd, Naples, FL 34104-6749 | 2020-02-04 |
| 1093346876 | Solaris Rehab, LLC | Clinic/Center | 18301 Trifecta Ln, Fort Myers, FL 33967-3032 | 2020-01-30 |
| 1790315117 | Solaris Rehab, LLC | Clinic/Center | 1321 Ne 24th Ave, Cape Coral, FL 33909-2861 | 2020-01-24 |
| 1841833308 | Solaris Rehab, LLC | Clinic/Center | 11725 Twineagles Blvd, Naples, FL 34120-4342 | 2019-10-28 |
| 1326681347 | Solaris Rehab, LLC | Clinic/Center | 5950 Burnham Rd, Naples, FL 34119-8400 | 2019-10-22 |
| 1164990412 | Solaris Rehab, LLC | Clinic/Center | 1000 Airport Pulling Rd S, Naples, FL 34104-4366 | 2018-11-05 |
| 1134696388 | Solaris Rehab, LLC | Clinic/Center | 7650 Gladiolus Dr, Fort Myers, FL 33908-5493 | 2018-10-25 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1013446178 | Solaris Rehab, LLC | Clinic/Center | 2500 Edwards Dr, Fort Myers, FL 33901-2862 | 2017-06-12 |
| 1669901724 | Solaris Rehab, LLC | Clinic/Center | 15800 Beach Walk Blvd, Fort Myers, FL 33908-3388 | 2017-06-12 |
| Street Address |
1414 69TH AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34207-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669841029 | Chelsea Hodges | Speech-Language Pathologist | 1414 69th Ave W, Bradenton, FL 34207-5850 | 2015-09-16 |
| 1326676685 | Kyla Walsh | Physical Therapist | 1414 69th Ave W, Bradenton, FL 34207-5850 | 2020-03-31 |
| 1124656582 | Emily Janson | Occupational Therapist | 1414 69th Ave W, Bradenton, FL 34207-5850 | 2020-03-31 |
| 1588219422 | Ryan Carman | Physical Therapy Assistant | 1414 69th Ave W, Bradenton, FL 34207-5850 | 2019-08-07 |
| 1427555283 | Scott Sheffield | Physical Therapy Assistant | 1414 69th Ave W, Bradenton, FL 34207-5850 | 2018-04-09 |
| 1841728045 | Nicholas Stephen Xynidis | Physical Therapy Assistant | 1414 69th Ave W, Bradenton, FL 34207-5850 | 2017-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
| 1710152673 | Oasis Temps Health Care, Inc. | Nursing Care | 4814 26th Street West, Unit B, Bradenton, FL 34207 | 2008-04-22 |
| 1669694873 | Comfortable Care Dental Health Professionals, Pa | Dentist | 6513 14th Street West, Suite 131, Bradenton, FL 34207 | 2007-05-03 |
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1033285952 | Neuromuscular Insitutute Inc | Physical Therapist | 4802 26th St West, Suite C, Bradenton, FL 34207 | 2006-11-24 |
| 1346315561 | Judith Rhea Korn | Social Worker | 6108 26th St West, Suite 3b, Bradenton, FL 34207 | 2006-11-22 |
| 1770652018 | Richard Allen Feasley | Dentist | 4418 5th St W, Bradenton, FL 34207 | 2006-11-08 |
| Find all providers in zip 34207 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205855491 | M D Therapy Services Inc. | Clinic/Center | 3409 26th St W, Bradenton, FL 34205 | 2006-07-19 |
| 1558694109 | Tara Carrington Ms, Otr/l LLC | Clinic/Center | 6150 State Road 70 E, Suite 5, Bradenton, FL 34203-9707 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
| 1508466707 | A1a Physical Therapy, LLC | Clinic/Center | 8 Ocean Trace Rd, Saint Augustine, FL 32080-6972 | 2020-10-27 |
| 1891394078 | Rehabclinics Pta, Inc. | Clinic/Center | 12543 Miramar Pkwy, Miramar, FL 33027-2909 | 2020-10-20 |
| 1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
| 1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.