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LAKE CENTRE FOR REHABILITATION
NPI 1417023730
Clinic/Center - Rehabilitation in Leesburg, FL

Active since November 28, 2006
600 W NORTH BLVD, SUITE D, LEESBURG, FL 34748(352) 728-6636(352) 787-4522 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Centre For Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CENTRE FOR REHABILITATION (NPI 1417023730) is a healthcare organization registered as a rehabilitation in Leesburg, Florida and active in the NPI registry since November 2006. The organization lists Gerald Goldstein, Vice President, as its authorized official.

NPPES Registry Identity

NPI1417023730
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameFLORIDA PHYSICAL THERAPY & REHABILITATIVE SERVICES INC
Location Address600 W NORTH BLVD, SUITE DLeesburg, FL 34748-5063
Mailing Address600 W North Blvd, Suite DLeesburg, FL 34748-5063 · (352) 728-6636 · Fax (352) 787-4522
Phone(352) 728-6636
Fax(352) 787-4522
Organization SubpartNo
Authorized OfficialGerald GoldsteinVice President · (352) 728-6636
Enumeration DateNovember 28, 2006
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1417023730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
600 W NORTH BLVD, Leesburg, FL 34748
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Other Names 1

Doing Business AsLake Centre For Rehabilitation

Other Identifiers 1

OtherR39FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA MARIATHASAN PTA
Physical Therapy Assistant
600 W NORTH BLVD, SUITE D
LEESBURG, FL 34748
Lake County (352) 787-9300
MRS. LINDA R STRUCKMEYER OTR
Occupational Therapist
600 W NORTH BLVD, SUITE D
LEESBURG, FL 34748
Lake County (352) 787-9300
JESSE GLADDIN PTA
Physical Therapy Assistant
600 W NORTH BLVD, SUITE D
LEESBURG, FL 34748
Lake County (352) 728-6636
NICHOLAS RYAN HYATT PTA
Physical Therapy Assistant
600 W NORTH BLVD, SUITE D
LEESBURG, FL 34748
Lake County (352) 728-6636
KELLY ELLIS PTA, LMT
Physical Therapy Assistant
600 W NORTH BLVD
LEESBURG, FL 34748
Lake County (352) 787-9300
MRS. SHARON L LEGROW PTA
Physical Therapy Assistant
600 W NORTH BLVD, SUITE D
LEESBURG, FL 34748
Lake County (352) 787-9300
MS. ELIZABETH M ACOSTA PTA
Physical Therapy Assistant
600 W NORTH BLVD, SUITE D
LEESBURG, FL 34748
Lake County (352) 787-9300
JOANN FICOCELLI
Physical Therapy Assistant
600 W NORTH BLVD, SUITE D
LEESBURG, FL 34748
Lake County (352) 728-6636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Physical Therapy & Rehabilitative Services Inc's NPI number?

The NPI number for Florida Physical Therapy & Rehabilitative Services Inc is 1417023730. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Lake Centre For Rehabilitation.

Where is Florida Physical Therapy & Rehabilitative Services Inc located?

Florida Physical Therapy & Rehabilitative Services Inc is located at 600 W North Blvd Suite D, Leesburg, FL 34748. The listed phone number is (352) 728-6636.

What is Florida Physical Therapy & Rehabilitative Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

What insurance does Florida Physical Therapy & Rehabilitative Services Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Physical Therapy & Rehabilitative Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Physical Therapy & Rehabilitative Services Inc was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.