Provider Demographics
NPI:1225071079
Name:RJB CARDIAC & PHYSICAL REHABILITATION, INC.
Entity Type:Organization
Organization Name:RJB CARDIAC & PHYSICAL REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BIERNOT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:863-314-9991
Mailing Address - Street 1:5901 US HIGHWAY 27 S
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2117
Mailing Address - Country:US
Mailing Address - Phone:863-314-9991
Mailing Address - Fax:863-314-0057
Practice Address - Street 1:5901 US HIGHWAY 27 S
Practice Address - Street 2:SUITE 10
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2117
Practice Address - Country:US
Practice Address - Phone:863-314-9991
Practice Address - Fax:863-314-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3694Medicare ID - Type UnspecifiedGROUP NUMBER