SOLARIS REHAB, LLC (NPI# 1457774903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457774903 |
| Entity Type | Organization |
| Organization Name | SOLARIS REHAB, LLC |
| Practice Address |
2129 W New Haven Ave W Melbourne FL 32904-3875 |
| Mailing Address |
Po Box 2386 Bonita Springs FL 34133-2386 |
| Practice Telephone | 3217240060 |
| Mailing Telephone | 2395142310 |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | MR. DAVID R BOERKOEL (PRESIDENT) |
| Authorized Official Telephone | 2393002207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| 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 |
2129 W NEW HAVEN AVE |
| City | W MELBOURNE |
| State | FL |
| Zip Code | 32904-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144334996 | Sharon Dunn | Physical Therapist | 2129 W New Haven Ave, W Melbourne, FL 32904 | 2006-08-18 |
| 1083906366 | Johnnie L Puccio | Physical Therapy Assistant | 2129 W New Haven Ave, W Melbourne, FL 32904-3875 | 2011-05-05 |
| 1992808091 | Health Management LLC | Clinic/Center | 2129 W New Haven Ave, W Melbourne, FL 32904 | 2006-09-06 |
| 1669586418 | Amy B Faulkner | Physical Therapist | 2129 W New Haven Ave, W Melbourne, FL 32904 | 2006-08-18 |
| 1548374309 | Lori Ann Rusinko | Occupational Therapy Assistant | 2129 W New Haven Ave, W Melbourne, FL 32904 | 2006-08-18 |
| 1598879355 | Myrtle Decker | Physical Therapist | 2129 W New Haven Ave, W Melbourne, FL 32904 | 2006-08-18 |
| 1558475327 | Lori Childers | Physical Therapy Assistant | 2129 W New Haven Ave, W Melbourne, FL 32904 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 | ||||
| City | W MELBOURNE |
| Zip Code | 32904 |
Please comment or provide details below to improve the information on SOLARIS REHAB, LLC.
| 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.