MEDICARE: ONSITE REHAB, 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	261QP2000X	Physical Therapy Clinic/Center	PT 29915	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1255738811	OTHER	FL	NPI TYPE I

General Provider Information

NPI Number	:	1710385919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONSITE REHAB, LLC

Provider Business Mailing Address
First Line	:	9544 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4036
Country	:	US
Telephone Number	:	305-308-8068
Fax Number	:

Provider Business Practice Location Address
First Line	:	9544 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4036
Country	:	US
Telephone Number	:	305-308-8068
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	DR. ALEJANDRO PEREZ
Credential	:	PT, DPT
Telephone Number	:	305-308-8068

Provider Enumeration Date	:	12/21/2014
Last Update Date	:	12/21/2014

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Directions to “ONSITE REHAB, LLC ” Practice Location

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