MEDICARE: ORTHOPAEDIC HOME HEALTH AND REHABILITATION, INC.

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	251E00000X	Home Health Agency	299993420	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10-9276	OTHER	FL	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1245496058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC HOME HEALTH AND REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	2101 VISTA PKWY
Second Line	:	SUITE 252
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2706
Country	:	US
Telephone Number	:	561-686-0933
Fax Number	:	561-686-0936

Provider Business Practice Location Address
First Line	:	2101 VISTA PKWY
Second Line	:	SUITE 252
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2706
Country	:	US
Telephone Number	:	561-686-0933
Fax Number	:	561-686-0936

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SALLY GROWNS DOWLING
Credential	:	P.T., D.P.T.
Telephone Number	:	561-686-0933

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	06/08/2010

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