Healthcare Provider Details

I. General information

NPI: 1891093365
Provider Name (Legal Business Name): SAXON REHAB MANAGEMENT LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12404 COBBLESTONE DR
HUDSON FL
34667
US

IV. Provider business mailing address

12404 COBBLESTONE DR
HUDSON FL
34667-2319
US

V. Phone/Fax

Practice location:
  • Phone: 727-255-9683
  • Fax:
Mailing address:
  • Phone: 727-862-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TOM SAXON
Title or Position: PRESIDENT
Credential: PT
Phone: 727-255-9683