NPIMap

Organization Active NPI

Advanced Rehab and Medical, PC

  • Physical Medicine & Rehabilitation Physician
  • Dresden, TN
National Provider Identifier
1033555248
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ADVANCED REHAB AND MEDICAL, PC
Practice address
811 Morrow St
Suite 208
Dresden, TN 38225-1846
Phone
(731) 364-2202
Fax
(731) 364-2204
NPI assigned
May 14, 2013
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon L Bone, DCNPI 1790756559
Title
President
Phone
(731) 664-6998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

811 Morrow St
Suite 208
Dresden, TN 38225-1846

Mailing address

811 Morrow St
Suite 208
Dresden, TN 38225-1846
Phone (731) 364-2202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1033555248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MORROW ST",
            "address_2": "SUITE 208",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382251846",
            "telephone_number": "731-364-2202",
            "fax_number": "731-364-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MORROW ST",
            "address_2": "SUITE 208",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382251846",
            "telephone_number": "731-364-2202",
            "fax_number": "731-364-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHAB AND MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "BONE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-664-6998",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresden, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.