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General NPI Number Information
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NPI Number | 1013814102
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Entity Type | Organization
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Legal Business Name | LOTUS REHAB CENTER, LLC
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Dates
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Enumeration Date | 10/21/2026
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Last Update Date | 10/21/2026
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Provider Practice Location Address
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Address Line | 2950 W CYPRESS CREEK RD STE 107
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-1701
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Country | US
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Telephone | 786-806-8611
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Fax | 305-503-8225
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Provider Business Mailing Address
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Address Line | 2950 W CYPRESS CREEK RD STE 107
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-1701
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Country | US
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Telephone | 786-806-8611
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Fax | 305-503-8225
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA VEGA
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Credential |
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Telephone | 786-806-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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