Provider Demographics
NPI:1033995147
Name:REM REHABILITATION & WELLNESS, LLC
Entity Type:Organization
Organization Name:REM REHABILITATION & WELLNESS, LLC
Other - Org Name:FYZICAL THERAPY & BALANCE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:REMENSNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:803-743-2919
Mailing Address - Street 1:922 1ST ST S APT 101
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-6548
Mailing Address - Country:US
Mailing Address - Phone:180-374-3291
Mailing Address - Fax:
Practice Address - Street 1:14815 MANDARIN RD STE 102
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-2607
Practice Address - Country:US
Practice Address - Phone:803-743-2919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy