Provider Demographics
NPI:1669402640
Name:REHAB MANAGEMENT ORGANIZATION
Entity type:Organization
Organization Name:REHAB MANAGEMENT ORGANIZATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHANICE
Authorized Official - Middle Name:LATASHA
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-354-8400
Mailing Address - Street 1:15455 W DIXIE HWY
Mailing Address - Street 2:BAY B
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-6067
Mailing Address - Country:US
Mailing Address - Phone:305-354-8400
Mailing Address - Fax:305-354-8448
Practice Address - Street 1:15455 W DIXIE HWY
Practice Address - Street 2:BAY B
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-6067
Practice Address - Country:US
Practice Address - Phone:305-354-8400
Practice Address - Fax:305-354-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20507225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty