Healthcare Provider Details

I. General information

NPI: 1194832857
Provider Name (Legal Business Name): HEALTH REHAB PLUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1844 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6031
US

IV. Provider business mailing address

1844 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6031
US

V. Phone/Fax

Practice location:
  • Phone: 954-255-1515
  • Fax: 954-255-1445
Mailing address:
  • Phone: 954-255-1515
  • Fax: 954-255-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT14832
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT3521
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberRT2906
License Number StateFL

VIII. Authorized Official

Name: RICHARD LIMEHOUSE
Title or Position: ADMINISTRATOR
Credential: MPT
Phone: 955-255-1515