MEDICARE: APOLLO REHAB

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	261Q00000X	Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center	PT25873	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508208513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOLLO REHAB

Provider Business Mailing Address
First Line	:	18840 NW 57TH AVE APT 306
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-7027
Country	:	US
Telephone Number	:	786-877-9416
Fax Number	:

Provider Business Practice Location Address
First Line	:	9905 NW 79TH AVE
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2405
Country	:	US
Telephone Number	:	786-877-9416
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF PHYSICAL THERAPY
Name	:	ZEUS MEDINA VERA
Credential	:	DPT
Telephone Number	:	786-877-9416

Provider Enumeration Date	:	07/19/2013
Last Update Date	:	04/08/2026

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Directions to “APOLLO REHAB ” Practice Location

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