Provider Demographics
NPI:1598979825
Name:HEALTH & REHABILITATION CONSULTANTS, INC
Entity Type:Organization
Organization Name:HEALTH & REHABILITATION CONSULTANTS, INC
Other - Org Name:FYZICAL THERAPY & BALANCE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-975-7351
Mailing Address - Street 1:8679 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAUKVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53080-2317
Mailing Address - Country:US
Mailing Address - Phone:414-975-7351
Mailing Address - Fax:
Practice Address - Street 1:4301 SANIBEL CAPTIVA RD
Practice Address - Street 2:
Practice Address - City:SANIBEL
Practice Address - State:FL
Practice Address - Zip Code:33957-3046
Practice Address - Country:US
Practice Address - Phone:239-395-1097
Practice Address - Fax:239-395-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT5003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ2WOtherMEDICARE
FLY5424Medicare ID - Type UnspecifiedGROUP #
FLQ2WOtherMEDICARE