MEDICARE: REGIONAL REHABILITATION SERVICES PA

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	261QP2000X	Physical Therapy Clinic/Center	PT 8071	FL

General Provider Information

NPI Number	:	1922190792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL REHABILITATION SERVICES PA

Provider Business Mailing Address
First Line	:	4705 ALT 19
Second Line	:	SUITE A
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1440
Country	:	US
Telephone Number	:	727-942-9040
Fax Number	:	727-942-9210

Provider Business Practice Location Address
First Line	:	4705 ALT 19
Second Line	:	SUITE A
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1440
Country	:	US
Telephone Number	:	727-942-9040
Fax Number	:	727-942-9210

Authorized Official
Title or Position	:	OWNER / ADMINISTRATOR
Name	:	MR. ROBERT JAMES CORRIS II
Credential	:	PT
Telephone Number	:	727-942-9040

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	08/15/2007

Similar Medicare Providers

1982605523 — MR. CRAIG W BURNS D.O.
Practice Location Address:

4705 ALT 19 , SUITE. B
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34683-1440

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1780703074 — MR. ROBERT JAMES CORRIS II PT
Practice Location Address:

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Practice Phone: 727-781-3550
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1205141215 — MRS. GAYE S FICARROTTA ARNP CNM
Practice Location Address:

4705 ALT 19 , SUITE B
PALM HARBOR, FL
34683-1440

Practice Phone: 727-935-6477
Practice Fax: 727-935-6478

1245979566 — DR. CHRISTOPHER ROBERT SCHROEDER DPT
Practice Location Address:

4705 PALM HARBOR BLVD STE A19
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Practice Fax:

1710306642 — EDWIN J. PARRILLA M.D
Practice Location Address:

1440 ROYAL PALM BEACH BLVD STE A
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Practice Fax:

1548816069 — HEIDY CHANNEL FERNANDEZ PHYSICAL ASSISTANT
Practice Location Address:

1440 ROYAL PALM BEACH BLVD STE A
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33411-1608

Practice Phone: 561-784-4481
Practice Fax: 561-784-4496

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