Longevity Rehab Center – Physical Therapy Clinic/Center, NPI 1215096383

Longevity Rehab Center is a healthcare provider. based in Vero beach, Florida. specializing in Physical Therapy Clinic/Center. The organization holds a License No. HCC5143 (FL). The NPI Number for Longevity Rehab Center is 1215096383

Main info

Organization
Name
Longevity Rehab Center
NPI
1215096383
Phone
(772) 978-9750
Address
1515 INDIAN RIVER BLVD
Authorized Official
MR. PAUL R ST MARY DIRECTOR OF OPERATIONS
Enumeration Date
6 December 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Longevity Rehab Center

  • 1515, Indian River Boulevard, Vero Beach, Indian River County, Florida, 32960, United States

    SUITE A135

    VERO BEACH, FL 32960

    Phone: (772) 978-9750

    Fax: (772) 978-9748

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20130805000634OPhysical/Occupational Therapy Group In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32960)

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Reviews

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Frequently asked questions

How is Longevity Rehab Center identified in CMS data?
CMS-hosted NPPES data lists Longevity Rehab Center with NPI 1215096383.
Is Longevity Rehab Center still practicing?
Longevity Rehab Center is currently listed as active in the public NPI registry.
What is Longevity Rehab Center's specialty?
The listing groups Longevity Rehab Center with Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
Does Longevity Rehab Center list a practice location?
Patients near Vero Beach, Florida may find Longevity Rehab Center in results; validate coverage separately.
Is the information about Longevity Rehab Center up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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