PREMIER REHAB INC NPI 1467490136

NPI Information

NPI: 1467490136
Provider Name: PREMIER REHAB INC

Doing Business As: FYZICAL THERAPY AND BALANCE CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
911 N SPRING GARDEN AVE
DELAND, FL
ZIP 32720
Phone: (386) 736-3108
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PREMIER REHAB INC is a rehabilitation clinic center in Deland, FL. PREMIER REHAB INC NPI is 1467490136. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fyzical Therapy And Balance Center.

The provider's business location address is:

911 N SPRING GARDEN AVE
DELAND, FL
ZIP 32720
Phone: (386) 736-3108
Fax: (386) 736-3643

The provider's authorized official is Barbara Annette Divincenzo .
The authorized official title is Administrator/ Ceo and has the following contact phone number (386) 736-3108.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 9/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225X00000X	Occupational Therapist		2674	FLORIDA	No
2	235Z00000X	Speech-Language Pathologist				No
3	261QP2000X	Clinic/Center	Physical Therapy			No
4	261QR0400X	Clinic/Center	Rehabilitation		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	882094500	MEDICAID	FLORIDA
2	681664996	MEDICAID	FLORIDA
3	R5L	OTHER	FLORIDA	BLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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