OrganizationActive
Longevity Rehabilitation Center Inc
NPI 1215096383 · Physical Therapy Clinic/Center · Vero Beach, FL
Provider details
- NPI number
- 1215096383
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul St Mary, Director of Operations(772) 978-9750
- License
- HCC5143 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1515 Indian River Blvd
Suite A135
Vero Beach, FL 32960
Phone: (772) 978-9750
Fax: (772) 978-9748
Street-level locationGet directions
Mailing address
1515 Indian River Blvd
Vero Beach, FL 32960
Other names (DBA / former)
- Other name
- Longevity Rehab Center
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.