Provider Demographics
NPI:1710990288
Name:REHAB & WELLNESS CENTERS OF AMERICA, INC.
Entity Type:Organization
Organization Name:REHAB & WELLNESS CENTERS OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAVARESE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:661-721-0468
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-0233
Mailing Address - Country:US
Mailing Address - Phone:661-721-0468
Mailing Address - Fax:661-721-0537
Practice Address - Street 1:1205 GARCES HWY STE 300
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3639
Practice Address - Country:US
Practice Address - Phone:661-721-0468
Practice Address - Fax:661-721-0537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT17997261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT179970Medicare UPIN
CA00PT85920Medicare UPIN
CAZZZ22913ZMedicare ID - Type Unspecified