Provider Demographics
NPI:1558569780
Name:APPLE REHABILITATION AND FITNESS, INC.
Entity Type:Organization
Organization Name:APPLE REHABILITATION AND FITNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-223-0005
Mailing Address - Street 1:3250 W PLEASANT RUN RD
Mailing Address - Street 2:#120
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1041
Mailing Address - Country:US
Mailing Address - Phone:972-223-0005
Mailing Address - Fax:972-223-6446
Practice Address - Street 1:3250 W PLEASANT RUN RD
Practice Address - Street 2:#120
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1041
Practice Address - Country:US
Practice Address - Phone:972-223-0005
Practice Address - Fax:972-223-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010213225100000X
TX774434363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00703ZMedicare UPIN