Provider Demographics
NPI:1073873600
Name:HR HEALTHY REHAB, LLC
Entity Type:Organization
Organization Name:HR HEALTHY REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FARATH
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-737-8700
Mailing Address - Street 1:7339 E COLONIAL DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-6380
Mailing Address - Country:US
Mailing Address - Phone:407-737-8700
Mailing Address - Fax:407-737-8711
Practice Address - Street 1:7339 E COLONIAL DR
Practice Address - Street 2:SUITE 9
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-6380
Practice Address - Country:US
Practice Address - Phone:407-737-8700
Practice Address - Fax:407-737-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67252207R00000X
FLPT5845225100000X
FLPTA19539225200000X
FLMA 64812225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty