Provider Demographics
NPI:1982630232
Name:RINEHART BROTHERS INCORPORATED
Entity Type:Organization
Organization Name:RINEHART BROTHERS INCORPORATED
Other - Org Name:FIRST CHOICE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:850-248-1600
Mailing Address - Street 1:2300 JENKS AVENUE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-4795
Mailing Address - Country:US
Mailing Address - Phone:850-248-1600
Mailing Address - Fax:850-248-1602
Practice Address - Street 1:2300 JENKS AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-4795
Practice Address - Country:US
Practice Address - Phone:850-248-1600
Practice Address - Fax:850-248-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC1243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4132Medicare PIN
FLY035KZMedicare PIN
FLY8459ZMedicare PIN