MEDICARE: REHAB & THERAPY 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	225100000X	Physical Therapist	PT19852	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y917S	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1558312843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB & THERAPY INC

Provider Business Mailing Address
First Line	:	6860 NW 73RD ST
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33067-3916
Country	:	US
Telephone Number	:	561-912-9580
Fax Number	:	561-912-9506

Provider Business Practice Location Address
First Line	:	1886 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1417
Country	:	US
Telephone Number	:	954-427-6606
Fax Number	:	954-427-9981

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JENNIFER H FORMAN
Credential	:	MSPT
Telephone Number	:	561-912-9580

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	04/16/2012

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Directions to “REHAB & THERAPY INC ” Practice Location

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