Provider Demographics
NPI:1235121088
Name:REHAB SPECIALISTS EAST COAST
Entity Type:Organization
Organization Name:REHAB SPECIALISTS EAST COAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASINGAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:321-255-9546
Mailing Address - Street 1:3040 N WICKHAM RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2369
Mailing Address - Country:US
Mailing Address - Phone:321-255-9546
Mailing Address - Fax:321-255-4690
Practice Address - Street 1:3040 N WICKHAM RD
Practice Address - Street 2:SUITE 7
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2369
Practice Address - Country:US
Practice Address - Phone:321-255-9546
Practice Address - Fax:321-255-4690
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHAB SPECIALISTS, INC EAST COAST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-18
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0779Medicare PIN