Healthcare Provider Details

I. General information

NPI: 1568373090
Provider Name (Legal Business Name): REDA REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9949 MAJORCA PL
BOCA RATON FL
33434-3715
US

IV. Provider business mailing address

9949 MAJORCA PL
BOCA RATON FL
33434-3715
US

V. Phone/Fax

Practice location:
  • Phone: 262-994-2597
  • Fax:
Mailing address:
  • Phone: 262-994-2597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL FRANCIS REDA
Title or Position: OWNER
Credential: OT
Phone: 262-994-2597