Provider Demographics
NPI:1396703492
Name:QUALITY REHAB SYSTEMS, INC.
Entity type:Organization
Organization Name:QUALITY REHAB SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:PANTANELLA
Authorized Official - Suffix:
Authorized Official - Credentials:OT/L, MPA, OTD
Authorized Official - Phone:954-785-8229
Mailing Address - Street 1:360 SE 5TH CT
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8465
Mailing Address - Country:US
Mailing Address - Phone:954-785-8229
Mailing Address - Fax:954-785-9227
Practice Address - Street 1:2701 N COURSE DR
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3058
Practice Address - Country:US
Practice Address - Phone:954-785-8229
Practice Address - Fax:954-785-9227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7460Medicare ID - Type UnspecifiedPROVIDER NUMBER