Provider Demographics
NPI:1518067651
Name:REHAB ASSOCIATES LLC
Entity Type:Organization
Organization Name:REHAB ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-778-0120
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:ANNA MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34216-0669
Mailing Address - Country:US
Mailing Address - Phone:941-778-2641
Mailing Address - Fax:941-779-2291
Practice Address - Street 1:9908 GULF DRIVE
Practice Address - Street 2:
Practice Address - City:ANNA MARIA
Practice Address - State:FL
Practice Address - Zip Code:34216
Practice Address - Country:US
Practice Address - Phone:941-778-2641
Practice Address - Fax:941-779-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT3650261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5514OtherPROVIDER #