REHABCLINICS (PTA) INC (NPI# 1225033988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225033988 |
Entity Type | Organization |
Organization Name | REHABCLINICS (PTA) INC |
Other Organization Name | NOVACARE REHABILITATION |
Practice Address |
1341 Medical Park Dr Suite 102 Melbourne FL 32901 |
Mailing Address |
4716 Old Gettysburg Rd Legal Department Mehanicsburg PA 17055 |
Practice Telephone | 3217287418 |
Practice Fax Number | 3217287403 |
Mailing Telephone | 7179754503 |
Mailing Fax Number | 7179759981 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2020-08-22 |
NPI Deactivation Date | 08/15/2006 |
NPI Reactivation Date | 2006-12-12 |
Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT) |
Authorized Official Telephone | 7179754503 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
FL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
NovaCare Rehabilitation | Doing Business As Name - Organization |
Street Address |
1341 MEDICAL PARK DR SUITE 102 |
City | MELBOURNE |
State | FL |
Zip Code | 32901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841293859 | Atlantic Orthopaedic Group Pa | Specialist | 1341 Medical Park Dr, Ste 201, Melbourne, FL 32901-3235 | 2005-05-23 |
1942678958 | Mark William Snavely | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2015-09-08 |
1679802599 | Coastline Imaging Inc | Occupational Therapy Assistant | 1341 Medical Park Dr, Ste. 202, Melbourne, FL 32901-3235 | 2009-12-24 |
1861663239 | Andrew T Sander | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2008-03-13 |
1437330750 | Coastline Imaging Inc | Specialist | 1341 Medical Park Dr, Suite 101, Melbourne, FL 32901-3235 | 2007-11-15 |
1134262710 | Stephen Emile Theriault | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2007-02-14 |
1568569531 | Terry David Johnson | Occupational Therapist | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2006-09-20 |
1265492938 | Russell Emmett Davis IIi | Occupational Therapist | 1341 Medical Park Dr, Melbourne, FL 32901-3235 | 2006-03-25 |
1740271717 | David W Ferguson | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
1093706079 | Margaret L Avilla | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
1851885347 | A&m Therapy, Inc | Clinic/Center | 903 Jordan Blass Dr Ste 104, Melbourne, FL 32940-1325 | 2018-06-18 |
1073013397 | Body Mechanics Physical Therapy, Pa | Clinic/Center | 807 E Hibiscus Blvd, Melbourne, FL 32901-3219 | 2018-02-13 |
1225449325 | Sherri M. Lorraine | Clinic/Center | 801 E Hibiscus Blvd, Suite 1, Melbourne, FL 32901-3252 | 2014-05-13 |
1073891123 | Overcomers Rehab & Physical Therapy | Clinic/Center | 18 W Avenue B Ste 4, Melbourne, FL 32901-1219 | 2011-07-22 |
1972959781 | Top Tier Sports Medicine LLC | Clinic/Center | 6300 N Wickham Rd, Suite 133b, Melbourne, FL 32940-2028 | 2016-05-11 |
1821443474 | Axispro Physical Therapy LLC | Clinic/Center | 405 N Wickham Rd, Suite 103, Melbourne, FL 32935-8628 | 2016-05-02 |
1831470798 | Florida Therapy Center Viera LLC | Clinic/Center | 7640 N Wickham Rd Ste 110, Melbourne, FL 32940-8147 | 2011-09-06 |
1508033515 | Select Physical Therapy Holdings Inc | Clinic/Center | 709 S Harbor City Blvd, Ste 100, Melbourne, FL 32901-1938 | 2008-05-09 |
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1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
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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.