Provider Demographics
NPI:1265516215
Name:REHABSYSTEMS PHYSICAL THERAPY CENTERS, INC.
Entity type:Organization
Organization Name:REHABSYSTEMS PHYSICAL THERAPY CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-790-7886
Mailing Address - Street 1:13873 WELLINGTON TRCE
Mailing Address - Street 2:SUITE B-12
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2118
Mailing Address - Country:US
Mailing Address - Phone:561-790-7886
Mailing Address - Fax:561-790-4427
Practice Address - Street 1:13873 WELLINGTON TRCE
Practice Address - Street 2:SUITE B-12
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-2118
Practice Address - Country:US
Practice Address - Phone:561-790-7886
Practice Address - Fax:561-790-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2002-02817225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4273Medicare PIN