Provider Demographics
NPI:1174560981
Name:REHAB AXIS,INC.
Entity type:Organization
Organization Name:REHAB AXIS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ASUNCION
Authorized Official - Last Name:CADORNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-359-2977
Mailing Address - Street 1:5899 WHITFIELD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-6152
Mailing Address - Country:US
Mailing Address - Phone:941-359-2977
Mailing Address - Fax:941-359-2966
Practice Address - Street 1:5899 WHITFIELD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-6152
Practice Address - Country:US
Practice Address - Phone:941-359-2977
Practice Address - Fax:941-359-2966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11160225100000X
FL20106225100000X
FL21435225100000X
FL21897225100000X
FL22644225100000X
FL22401225100000X
FL22539225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU7159ZMedicare ID - Type Unspecified
FLU6654ZMedicare ID - Type Unspecified
FLU0384ZMedicare ID - Type Unspecified
FLU4636ZMedicare ID - Type Unspecified
FLY1065ZMedicare ID - Type Unspecified
FLY058DZMedicare ID - Type Unspecified