Provider Demographics
NPI:1881610046
Name:ADVANCED REHABILITATION, INC.
Entity type:Organization
Organization Name:ADVANCED REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-250-1208
Mailing Address - Street 1:2907 W BAY TO BAY BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8172
Mailing Address - Country:US
Mailing Address - Phone:813-250-1208
Mailing Address - Fax:813-250-1209
Practice Address - Street 1:2907 W BAY TO BAY BLVD
Practice Address - Street 2:STE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8172
Practice Address - Country:US
Practice Address - Phone:813-250-1208
Practice Address - Fax:813-250-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21520261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY910BMedicare ID - Type UnspecifiedMCR PROVIDER NUMBER