DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ULTIMA REHAB-FL LLC

MEDICARE: ULTIMA REHAB-FL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
32251G0304XGeriatric Physical Therapist

General Provider Information

NPI Number : 1053970194
Entity Type Code : Organization
Provider Name (Legal Business Name) : ULTIMA REHAB-FL LLC
Provider Business Mailing Address
First Line : 132 PEARLCROFT RD
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-3334
Country : US
Telephone Number : 609-509-2388
Fax Number : 267-790-0402
Provider Business Practice Location Address
First Line : 390 PONDELLA RD STE 9
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-4340
Country : US
Telephone Number : 609-509-2388
Fax Number :
Authorized Official
Title or Position : CFO
Name : RICHARD AUSTIN DUUS
Credential :
Telephone Number : 609-509-2388
Provider Enumeration Date : 06/12/2019
Last Update Date : 06/12/2019

Similar Medicare Providers

1639309024 — MS. DIANA MONROE LCSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1518268291 — MRS. JENNIE LYNN BEUER LCSW, MSW, RPT
Practice Location Address:
390 PONDELLA RD , SUITE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1376055988 — LILLIAM BLUNDELL LCSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax:
1962900464 — ALECIA RAGER MSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1780170258 — MRS. MARIE FRANCE LECLERC MSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1003399676 — MISS MIREILLE TAIME MSW LCSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax:

Directions to “ULTIMA REHAB-FL LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.