Healthcare Provider Details

I. General information

NPI: 1528285301
Provider Name (Legal Business Name): SRS REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N STE 300B
BOCA RATON FL
33428-2237
US

IV. Provider business mailing address

PO BOX 546976
SURFSIDE FL
33154-6976
US

V. Phone/Fax

Practice location:
  • Phone: 561-487-7874
  • Fax: 561-487-7884
Mailing address:
  • Phone: 877-993-2121
  • Fax: 954-622-9120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICH HENRY HOFFMAN
Title or Position: PRESIDENT
Credential:
Phone: 561-312-1120