Provider Demographics
NPI:1134259567
Name:REHAB SPECIALISTS, INC.
Entity type:Organization
Organization Name:REHAB SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:MR
Authorized Official - First Name:ACE STERLING
Authorized Official - Middle Name:ROXAS
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:863-293-3700
Mailing Address - Street 1:141 AVENUE C SW
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3273
Mailing Address - Country:US
Mailing Address - Phone:863-293-3700
Mailing Address - Fax:863-292-0417
Practice Address - Street 1:141 AVENUE C SW
Practice Address - Street 2:SUITE 150
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3273
Practice Address - Country:US
Practice Address - Phone:863-293-3700
Practice Address - Fax:863-292-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6404225100000X
FLPT5986225100000X
FLPT5989225100000X
FLPT10290225100000X
FLPT15640225100000X
FLOT5262225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty