360 REHAB SERVICES INC. (NPI# 1538727516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538727516 |
| Entity Type | Organization |
| Organization Name | 360 REHAB SERVICES INC. |
| Practice Address |
12251 Taft St Pembroke Pines FL 33026-1901 |
| Practice Telephone | 9546485565 |
| Mailing Telephone | 9546485565 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | DR. DAINIELLE GORDON-CORNWALL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9546485565 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PT LICENSE | PT25081 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | 360 REHAB SERVICES INC | 1931 Sw 148th Way, Miramar, FL 33027-4337 |
| Street Address |
12251 TAFT ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487692075 | Sleep Metrics, Inc | Clinic/Center | 12251 Taft St, Pembroke Pines, FL 33026-1956 | 2006-06-03 |
| 1043704026 | Reshma Baddaloo | Dentist | 12251 Taft St, Pembroke Pines, FL 33026-1901 | 2018-06-21 |
| 1033507520 | Superior Nurse Partners LLC | Nursing Care | 12251 Taft St, Suite 302, Pembroke Pines, FL 33026-1901 | 2015-01-06 |
| 1346647781 | Floridan Dental At Pines, Pllc | Dentist | 12251 Taft St, Suite 200, Pembroke Pines, FL 33026-1901 | 2014-12-01 |
| 1881010585 | Richard C Zang | Acupuncturist | 12251 Taft St, Suite #303, Pembroke Pines, FL 33026-1901 | 2014-03-05 |
| 1154694891 | Pembroke Dental Associates | Dentist | 12251 Taft St, Suite 404, Pembroke Pines, FL 33026-1901 | 2012-02-10 |
| 1437455284 | Michaela Marina Hernandez | Physician Assistant | 12251 Taft St, Suite 401, Pembroke Pines, FL 33026-1901 | 2011-01-26 |
| 1528398922 | Seredor Centers Inc | Clinic/Center | 12251 Taft St, Suite 403, Pembroke Pines, FL 33026-1901 | 2010-01-06 |
| 1295060010 | Sleep Florida LLC | Psychiatry & Neurology | 12251 Taft St, Suite 300, Pembroke Pines, FL 33026-1901 | 2009-10-13 |
| 1346489507 | Center for Gastroenterology P A | Internal Medicine | 12251 Taft St, Suite 301, Pembroke Pines, FL 33026-1901 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992244271 | Roa Rehabilitation Health Services Inc. | Clinic/Center | 16381 Nw 13th St, Pembroke Pines, FL 33028-1309 | 2017-02-20 |
| 1649728833 | Yolanda Suarez | Clinic/Center | 1041 Nw 192nd Ave, Pembroke Pines, FL 33029-2922 | 2016-09-15 |
| 1043476203 | Barcella Rehab Corp | Clinic/Center | 9806 Pines Blvd, Pembroke Pines, FL 33024-6141 | 2008-08-06 |
| 1508999772 | Pines Total Rehabilitation Health Center Corp | Clinic/Center | 2241 N University Dr, Ste B, Pembroke Pines, FL 33024-3611 | 2007-03-14 |
| 1184223828 | J.r.therapy Inc | Clinic/Center | 17987 Sw 8th St, Pembroke Pines, FL 33029-4403 | 2020-10-23 |
| 1275162794 | Lisa Anne Kutrip | Clinic/Center | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-04-06 |
| 1568914778 | Rehabclinics Pta, Inc. | Clinic/Center | 17796 Sw 2nd St, Pembroke Pines, FL 33029-3923 | 2016-11-04 |
| 1922497577 | Karen Carmona | Clinic/Center | 10794 Pines Blvd, Pembroke Pines, FL 33026-3920 | 2015-01-20 |
| 1073830303 | Serge Jean-louis Jr. | Clinic/Center | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.