Healthcare Provider Details

I. General information

NPI: 1164279014
Provider Name (Legal Business Name): FLEX REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 ROWAN RD STE B
NEW PORT RICHEY FL
34653-6198
US

IV. Provider business mailing address

7727 HINSDALE DR
TAMPA FL
33615-1504
US

V. Phone/Fax

Practice location:
  • Phone: 727-977-9218
  • Fax: 904-299-2867
Mailing address:
  • Phone: 813-465-3432
  • 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

VIII. Authorized Official

Name: ALEXIS CASTILLO BECERRA
Title or Position: MGR
Credential:
Phone: 813-465-3432