Provider Demographics
NPI:1306023791
Name:SUNRAY REHAB INC
Entity Type:Organization
Organization Name:SUNRAY REHAB INC
Other - Org Name:NORTH STUART PHYSICAL THERAPY & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-692-6994
Mailing Address - Street 1:3397 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4456
Mailing Address - Country:US
Mailing Address - Phone:772-692-6994
Mailing Address - Fax:772-692-6995
Practice Address - Street 1:3397 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4456
Practice Address - Country:US
Practice Address - Phone:772-692-6994
Practice Address - Fax:772-692-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5349Medicare PIN