Healthcare Provider Details

I. General information

NPI: 1912911744
Provider Name (Legal Business Name): REHAB SYSTEMS OF BOCA RATON, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3066 JOG RD
GREENACRES FL
33467-2053
US

IV. Provider business mailing address

3066 JOG RD
GREENACRES FL
33467-2053
US

V. Phone/Fax

Practice location:
  • Phone: 561-357-5883
  • Fax: 561-357-5884
Mailing address:
  • Phone: 561-357-5883
  • Fax: 561-357-5884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. JONATHAN LEE COHEN
Title or Position: OWNER
Credential: MOT, OTR/L, SIPT
Phone: 561-357-5883