# ROBERT'S REHAB SERVICES, LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710660493
- **Authorized official:** MR. ROBERT HERNAN CLARKE II COTA/L (OWNER/ MANAGER)
- **Authorized official phone:** (305) 785-3504

## Contact information

- **Practice address:** 1809 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5544
- **Practice address phone:** (305) 785-3504
- **Mailing address:** 1166 SW GOODMAN AVE, PORT ST LUCIE, FL 34953-1433
- **Mailing address phone:** (305) 785-3504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 08/09/2023
