OrganizationActive
Atlantic Coast Medical Rehab
NPI 1104115112 · Specialist · Jacksonville, FL
Atlantic Coast Medical Rehab is a Specialist organization in Jacksonville, FL (NPI 1104115112).
Provider details
- NPI number
- 1104115112
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Traci Rosenstein, Administrator(904) 888-6095
- License
- ME79945 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13171 Atlantic Blvd. Suite #100
Jacksonville, FL 32225
Phone: (904) 888-6095
Fax: (904) 280-5238
Street-level locationGet directions
Mailing address
13171 Atlantic Blvd. Suite #100
Jacksonville, FL 32225
Registry dates
- Enumerated
- 2011-03-30
- Last updated
- 2020-06-29
- Certified
- 2020-06-29
Frequently asked questions
- What is Atlantic Coast Medical Rehab's NPI number?
- Atlantic Coast Medical Rehab's National Provider Identifier (NPI) is 1104115112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlantic Coast Medical Rehab?
- Atlantic Coast Medical Rehab is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Atlantic Coast Medical Rehab located?
- Atlantic Coast Medical Rehab's practice location on file with NPPES is 13171 Atlantic Blvd. Suite #100, Jacksonville, FL 32225.
- What is Atlantic Coast Medical Rehab's phone number?
- The practice phone number listed in the NPPES registry for Atlantic Coast Medical Rehab is (904) 888-6095.
- Who is the authorized official for Atlantic Coast Medical Rehab?
- The authorized official listed on Atlantic Coast Medical Rehab's NPPES record is Traci Rosenstein, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlantic Coast Medical Rehab's NPI active?
- Yes — Atlantic Coast Medical Rehab's NPI (1104115112) is active in the NPPES registry as of the last update on 2020-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.