Healthcare Provider Details

I. General information

NPI: 1184395071
Provider Name (Legal Business Name): BECKER REHABILITATION SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 VASSAR ST
ORLANDO FL
32804-4920
US

IV. Provider business mailing address

727 VASSAR ST
ORLANDO FL
32804-4920
US

V. Phone/Fax

Practice location:
  • Phone: 407-492-5701
  • Fax:
Mailing address:
  • Phone: 407-492-5701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251H1300X
TaxonomyHuman Factors Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHAN LAZAR BECKER
Title or Position: PRESIDENT
Credential: DPT
Phone: 407-492-5701