Provider Demographics
NPI:1063433043
Name:REHAB SYSTEMS OF BOCA RATON, P.A.
Entity type:Organization
Organization Name:REHAB SYSTEMS OF BOCA RATON, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L, SIPT
Authorized Official - Phone:561-357-5883
Mailing Address - Street 1:5576 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3423
Mailing Address - Country:US
Mailing Address - Phone:954-974-2977
Mailing Address - Fax:954-974-2021
Practice Address - Street 1:5576 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33073-3423
Practice Address - Country:US
Practice Address - Phone:954-974-2977
Practice Address - Fax:954-974-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QH0700X, 261QP2000X, 261QR0400X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Not Answered261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Not Answered261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Not Answered261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine