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NPI Code Detail

MEDICARE: REHAD MED PHYSICAL THERAPY AND WELLNESS SERVICES, P.C.

MEDICARE: REHAD MED PHYSICAL THERAPY AND WELLNESS SERVICES, P.C.
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13814OTHERTNPHYSICAL THERAPY LICENSE
24215OTHERTNPHYSICAL THERAPY LICENSE

General Provider Information

NPI Number : 1275646564
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAD MED PHYSICAL THERAPY AND WELLNESS SERVICES, P.C.
Provider Business Mailing Address
First Line : 2552 POPLAR AVE
Second Line : SUITE 403
City : MEMPHIS
State : TN
Zip : 38112-3852
Country : US
Telephone Number : 901-323-1196
Fax Number : 901-323-1197
Provider Business Practice Location Address
First Line : 2552 POPLAR AVE
Second Line : SUITE 403
City : MEMPHIS
State : TN
Zip : 38112-3852
Country : US
Telephone Number : 901-323-1196
Fax Number : 901-323-1197
Authorized Official
Title or Position : PRESIDENT
Name : MR. HARRY GUINOCOR
Credential : MSPT
Telephone Number : 901-323-1196
Provider Enumeration Date : 08/17/2006
Last Update Date : 08/22/2020

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1750399721 — MR. HARRY GUINOCOR PT
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1831107804 — MR. ROQUE F ESTIPONA JR. PT
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1750399820 — REHABMED PHYSICAL THERAPY & WELLNESS SERVICES, PC
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Practice Location Address:
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Directions to “REHAD MED PHYSICAL THERAPY AND WELLNESS SERVICES, P.C. ” Practice Location

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