Provider Demographics
NPI:1164279014
Name:FLEX REHAB LLC
Entity type:Organization
Organization Name:FLEX REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO BECERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-465-3432
Mailing Address - Street 1:7727 HINSDALE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-1504
Mailing Address - Country:US
Mailing Address - Phone:813-465-3432
Mailing Address - Fax:
Practice Address - Street 1:4419 ROWAN RD STE B
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6198
Practice Address - Country:US
Practice Address - Phone:727-977-9218
Practice Address - Fax:904-299-2867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty