Organization
PROACTIVE REHABILITATION & WELLNESS LLC
Active
Organization
PROACTIVE REHABILITATION & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL EDUARDO SALAZAR II MHS, OTR/L (CEO & OWNER)
(706) 829-6706
Entity
Organization
Contact information
Practice address
2103 REEDALE AVE, AUGUSTA, GA 30906-3430
(706) 814-6887
Mailing address
2320 NEAL ST, AUGUSTA, GA 30906-3082
(706) 829-6706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XE1200X
Ergonomics Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/03/2020
Last updated
10/12/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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