Healthcare Provider Details

I. General information

NPI: 1629033014
Provider Name (Legal Business Name): R.G. THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 N MAITLAND AVE
MAITLAND FL
32751-4423
US

IV. Provider business mailing address

630 N MAITLAND AVE
MAITLAND FL
32751-4423
US

V. Phone/Fax

Practice location:
  • Phone: 407-539-2488
  • Fax: 407-539-2408
Mailing address:
  • Phone: 407-539-2488
  • Fax: 407-539-2408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT17391
License Number StateFL

VIII. Authorized Official

Name: MRS. RHONDA BEJING GEIB
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT
Phone: 407-539-2488