Customized Rehab is a
Physical Therapist based in St James City, Florida. Customized Rehab is licensed to practice in Florida (license number 7166) and their current practice location is
3488 Gasparilla St, St James City, Florida. It can be reached at their office (for appointments etc.) via phone at
(239) 745-1631.
NPI number for Customized Rehab is 1215080742 and their current mailing address is 3488 Gasparilla St, St James City, Florida. Customized Rehab
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1215080742.
Healthcare Provider's Profile
Full Name | Customized Rehab |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 3488 Gasparilla St, St James City, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215080742
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 01/29/2008
Medical Identifiers
Medical identifiers for Customized Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215080742 | NPI | - | NPPES |
1114096229 | Other | FL | INDIVIDUAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 7166 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Customized Rehab is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Customized Rehab 3488 Gasparilla St, St James City, FL 33956-2540 Ph: (239) 745-1631 | Customized Rehab 3488 Gasparilla St, St James City, FL 33956-2540 Ph: (239) 745-1631 |
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