MEDICARE: NEULIFE NEUROLOGICAL SERVICES LLC

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)		FL
2	283X00000X	Rehabilitation Hospital	12406	FL
3	283X00000X	Rehabilitation Hospital	70090977	FL
4	310400000X	Assisted Living Facility	AL12406	FL
5	313M00000X	Nursing Facility/Intermediate Care Facility	12406	FL
6	320700000X	Physical Disabilities Residential Treatment Facility	AL12406	FL
7	385H00000X	Respite Care	AL12406	FL
8	320700000X	Physical Disabilities Residential Treatment Facility	70090977	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AL12406	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1548636467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEULIFE NEUROLOGICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	2725 ROBIE AVE
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-9619
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 ROBIE AVE
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-9619
Country	:	US
Telephone Number	:	800-626-3876
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JANET OTT
Credential	:
Telephone Number	:	352-409-7477

Provider Enumeration Date	:	08/14/2015
Last Update Date	:	11/28/2017

Similar Medicare Providers

1467529180 — THERAPEUTIC SPECIALITY SERVICES
Practice Location Address:

2705 ROBIE AVE
MOUNT DORA, FL
32757-9619

Practice Phone: 352-360-0012
Practice Fax:

1033304217 — A BETTER YOU REHAB INC
Practice Location Address:

2725 ROBIE AVE , SUITE 2013
MOUNT DORA, FL
32757-9619

Practice Phone: 352-636-9624
Practice Fax:

1023256039 — KAREN S KYLE OTR/L
Practice Location Address:

2725 ROBIE AVE , SUITE 2013
MOUNT DORA, FL
32757-9619

Practice Phone: 352-383-4446
Practice Fax: 352-383-4449

1275771289 — PAULA KESSINGER PTA
Practice Location Address:

2725 ROBIE AVE , SUITE 2013
MOUNT DORA, FL
32757-9619

Practice Phone: 352-383-4446
Practice Fax: 352-383-4449

1669097135 — AMY LYNN PROTHEROE OTR
Practice Location Address:

2725 ROBIE AVE
MOUNT DORA, FL
32757-9619

Practice Phone: 800-626-3876
Practice Fax:

1548988447 — NEULIFE REHABILITATION OF FLORIDA, INC.
Practice Location Address:

2725 ROBIE AVE
MOUNT DORA, FL
32757-9619

Practice Phone: 800-626-3876
Practice Fax:

Directions to “NEULIFE NEUROLOGICAL SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.