MEDICARE: NVAP REHAB 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
1	208100000X	Physical Medicine & Rehabilitation Physician	PT32576	FL

General Provider Information

NPI Number	:	1184154809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NVAP REHAB LLC

Provider Business Mailing Address
First Line	:	5922 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4324
Country	:	US
Telephone Number	:	224-256-4228
Fax Number	:

Provider Business Practice Location Address
First Line	:	5922 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4324
Country	:	US
Telephone Number	:	224-256-4228
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KINJAL JAYMIN DESAI
Credential	:	MPT
Telephone Number	:	224-256-4228

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	07/21/2022

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