MEDICARE: NUMBER-ONE REHAB CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT14991	FL

General Provider Information

NPI Number	:	1003895434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUMBER-ONE REHAB CARE INC

Provider Business Mailing Address
First Line	:	2097 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1835
Country	:	US
Telephone Number	:	786-388-8400
Fax Number	:	786-388-8200

Provider Business Practice Location Address
First Line	:	2097 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1835
Country	:	US
Telephone Number	:	786-388-8400
Fax Number	:	786-388-8200

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIA DEJESUS GONZALEZ
Credential	:	THERAPIST
Telephone Number	:	786-388-8400

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	09/18/2012

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