Healthcare Provider Details

I. General information

NPI: 1649045725
Provider Name (Legal Business Name): ELITE REHAB SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 FRENCH PLUM LN
TAMARAC FL
33321-6334
US

IV. Provider business mailing address

5870 FRENCH PLUM LN
TAMARAC FL
33321-6334
US

V. Phone/Fax

Practice location:
  • Phone: 954-993-0021
  • Fax:
Mailing address:
  • Phone: 954-993-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: YIHAD SABAGH
Title or Position: MANAGING MEMBER/OWNER
Credential: DPT
Phone: 954-993-0021