Provider Demographics
NPI:1841300068
Name:POWER PLUS REHAB, INC.
Entity type:Organization
Organization Name:POWER PLUS REHAB, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-OWNER.
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:954-829-8881
Mailing Address - Street 1:8600 BELLA VISTA DR.
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1869
Mailing Address - Country:US
Mailing Address - Phone:954-829-8881
Mailing Address - Fax:954-943-2747
Practice Address - Street 1:8600 BELLA VISTA DR.
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1869
Practice Address - Country:US
Practice Address - Phone:954-829-8881
Practice Address - Fax:954-943-2747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POWER PLUS REHAB, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-30
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11729225100000X
FL225X00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6060Medicare ID - Type UnspecifiedREHAB IN HOME