Provider Demographics
NPI:1558458273
Name:CONCEPTS IN REHAB INC
Entity Type:Organization
Organization Name:CONCEPTS IN REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGILVREY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:239-337-2739
Mailing Address - Street 1:PO BOX 150969
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33915-0969
Mailing Address - Country:US
Mailing Address - Phone:239-337-2739
Mailing Address - Fax:239-337-2738
Practice Address - Street 1:15751 SAN CARLOS BLVD.
Practice Address - Street 2:SUITE 4
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3315
Practice Address - Country:US
Practice Address - Phone:239-337-2739
Practice Address - Fax:239-337-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104833Medicare ID - Type UnspecifiedOUTPATIENT PT OT PULMONAR