Healthcare Provider Details
I. General information
NPI: 1699851881
Provider Name (Legal Business Name): REHABILITATION SERVICES OF ST CROIX
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
SUNNY ISLE PROFESSIONAL BLDG SUITE 6F
ST CROIX VI
00820-5100
US
IV. Provider business mailing address
PO BOX 5100 SUNNY ISLE
CHRISTIANSTED VI
00823-5100
US
V. Phone/Fax
- Phone: 340-772-9557
- Fax: 340-772-9558
- Phone: 340-772-9557
- Fax: 340-772-9558
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 78 |
| License Number State | VI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 04637 |
| License Number State | MD |
VIII. Authorized Official
Name:
DAVID
WATSON
Title or Position: FOUNDING PARTNER PHYSICAL THERAPIS
Credential: MS PT
Phone: 724-388-0866