Island Rehab Llc is a Geriatrics in Suwanee, Georgia. Island Rehab Llc practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Island Rehab Llc is 1295881134. The last update date is 2020-08-22.
Island Rehab Llc's current location address is 3711 Suwanee Creek Ct, Suwanee, Georgia. You can contact this provider via phone number 7703175512. The mailing address for Island Rehab Llc is 3711 Suwanee Creek Ct, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Island Rehab Llc |
|---|---|
| Address | 3711 Suwanee Creek Ct, Suwanee, Georgia |
| Phone Number | 7703175512 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Pickavance Philip Joseph |
| Credentials | COTA |
| Telephone Number | 4042320300 |
NPI Number Detail
| NPI Number | 1295881134 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3711 Suwanee Creek Ct |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300242435 |
| Phone Number | 7703175512 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 3767 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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What is the unique 10-digit identifier code assigned to Island Rehab Llc by the Centers for Medicare & Medicaid Services?
The Island Rehab Llc has been issued the NPI (National Provider Identifier) 1295881134 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Island Rehab Llc's facilities are situated?
The facilities of Island Rehab Llc are physically located at the following address: 3711 Suwanee Creek Ct, Suwanee, GA, 300242435.
What is the Island Rehab Llc's area of specialization and corresponding taxonomy classification?
The Island Rehab Llc's specialty field is Geriatrics, and it falls under the taxonomy code 2251G0304X, which categorizes healthcare providers based on their specialties.
On what date did the Island Rehab Llc receive its 1295881134 assignment from the Centers for Medicare & Medicaid Services?
The Island Rehab Llc was assigned its 1295881134 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date was the information pertaining to Island Rehab Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Island Rehab Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY