Provider Demographics
NPI:1598725160
Name:ABILITIES REHAB SERVICES INC
Entity Type:Organization
Organization Name:ABILITIES REHAB SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VANIA
Authorized Official - Middle Name:COCCHIARO
Authorized Official - Last Name:GUALTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-483-8456
Mailing Address - Street 1:4712 GRAPEVINE WAY
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331
Mailing Address - Country:US
Mailing Address - Phone:954-483-8456
Mailing Address - Fax:954-680-7137
Practice Address - Street 1:4712 GRAPEVINE WAY
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33331
Practice Address - Country:US
Practice Address - Phone:954-483-8456
Practice Address - Fax:954-680-7137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL887740800Medicaid