Provider Demographics
NPI:1780907519
Name:ALPHA REHAB & SPINE STRENGTHENING LLC
Entity type:Organization
Organization Name:ALPHA REHAB & SPINE STRENGTHENING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/OM
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-789-6776
Mailing Address - Street 1:1901 SE 18TH AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8212
Mailing Address - Country:US
Mailing Address - Phone:352-789-6776
Mailing Address - Fax:352-390-6359
Practice Address - Street 1:1901 SE 18TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-622-3360
Practice Address - Fax:352-629-4512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT222152251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty