Re-Engage Physical Therapy, LLC
Physical Therapist in Yulee, FL. Organization (NPI-2).
NPI number1821716754
StatusActive
Last updated in NPPESAug 17, 2022
Details
- NPI
- 1821716754
- Entity type
- Organization (NPI-2)
- Legal business name
- Re-Engage Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2022
- Certification date
- Aug 17, 2022
- Last updated
- Aug 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
77079 Cobblestone DrYulee, FL 32097-0645
Phone 530-591-2820
Mailing address
77079 Cobblestone DrYulee, FL 32097-0645
Phone 530-591-2820
Authorized official
Kevin Fredenburg
Owner, Physical Therapist
5305912820
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All 13 Physical Therapist providers in Yulee · All 470 providers in Yulee
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