Provider Demographics
NPI:1922100767
Name:REHABXPERIENCE LLC
Entity Type:Organization
Organization Name:REHABXPERIENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-741-2221
Mailing Address - Street 1:350 NW 70TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2349
Mailing Address - Country:US
Mailing Address - Phone:954-741-2221
Mailing Address - Fax:954-741-2155
Practice Address - Street 1:350 NW 70TH AVE STE A
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2349
Practice Address - Country:US
Practice Address - Phone:954-741-2221
Practice Address - Fax:954-741-2155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 0006687261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY080QOtherBLUE CROSS BLUE SHIELD
FLK8005Medicare PIN
FLU5258ZMedicare UPIN