Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SUNCREST OUTPATIENT REHAB SERVICES, LLC
Active
Organization
SUNCREST OUTPATIENT REHAB SERVICES, LLC
Active
Other names
SunCrest Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MCFADDIN (DIRECTOR OF LICENSING/ACCREDITATION)
(615) 712-2250
Entity
Organization
Contact information
Practice address
1503 OAK ST, JACKSONVILLE, FL 32204-3910
(904) 353-2019
(904) 353-7762
Mailing address
510 HOSPITAL DR, SUITE 150, MADISON, TN 37115-5033
(615) 627-9267
(615) 577-0081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS074
PROVIDER NO.
FL
01
—
HCC9132
STATE LICENSE NO
FL
Enumeration date
05/23/2008
Last updated
06/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up