Organization
360 REHAB SERVICES INC.
Active
Organization
360 REHAB SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAINIELLE GORDON-CORNWALL DPT (PRESIDENT/OWNER)
(954) 648-5565
Entity
Organization
Contact information
Practice address
12251 TAFT ST, PEMBROKE PINES, FL 33026-1901
(954) 648-5565
Mailing address
12251 TAFT ST, PEMBROKE PINES, FL 33026-1901
(954) 648-5565
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT25081
PT LICENSE
FL
Enumeration date
06/04/2019
Last updated
08/19/2019
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