Provider Demographics
NPI:1164908307
Name:REHAB ADVANTAGE SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:REHAB ADVANTAGE SOLUTIONS, PLLC
Other - Org Name:TMC THERAPY AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED REPRESENTIVE
Authorized Official - Prefix:
Authorized Official - First Name:DREAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-382-1141
Mailing Address - Street 1:8477 S SUNCOAST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-5028
Mailing Address - Country:US
Mailing Address - Phone:904-814-9254
Mailing Address - Fax:352-565-5201
Practice Address - Street 1:8477 S SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-5028
Practice Address - Country:US
Practice Address - Phone:904-814-9254
Practice Address - Fax:352-565-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT5855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty