Active NPI
Rehab Engineering LLC
- Prosthetic/Orthotic Supplier
- Valdosta, GA
National Provider Identifier
1043350481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 014
- Legal business name
- REHAB ENGINEERING LLC
- Practice address
- 2225 Bemiss Rd Ste F
Valdosta, GA 31602-4819 - Phone
- (877) 815-6557
- Fax
- (850) 656-6483
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey R Fredrick, C.P.O.
- Title
- Owner
- Phone
- (850) 656-3599
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | POR 28 | FL | |
| Prosthetic/Orthotic Supplier | 335E00000X | 014 | GA | Primary |
Addresses
Primary practice location
2225 Bemiss Rd Ste F
Valdosta, GA 31602-4819
Mailing address
1719 Mahan Drive
Tallahassee, FL 32308
Phone (850) 656-3599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 746347392A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930029578 | GA | DME Supplier - Orthotic Personnel | 3173727427 | Practice locations: Valdosta, GA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rehab Engineering LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Rehab Engineering LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Thomasville, GA
- NPI 1356598478
-
- Customized Equipment (DME)
- Thomasville, GA
- NPI 1497936967
-
- Prosthetic/Orthotic Supplier
- Tallahassee, FL
- NPI 1194972158
-
- Customized Equipment (DME)
- Tallahassee, FL
- NPI 1932380409
Locations
2225 Bemiss Rd
Ste F
Valdosta, GA 31602
Phone (229) 241-2005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1043350481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 MAHAN DRIVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-656-3599",
"fax_number": "850-656-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 BEMISS RD STE F",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316024819",
"telephone_number": "877-815-6557",
"fax_number": "850-656-6483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB ENGINEERING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "FREDRICK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-656-3599",
"authorized_official_credential": "C.P.O."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "POR 28",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "GA",
"license": "014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "746347392A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Regina Katherine Wisenbaker
- Caitlyn Christine Register, MSN, APRN, FNP-C
- Jerry Mitchell Register Jr., LCSW
- Kenneth Walker Register, D.C.
- Lindsey Register, M. ED, CF-SLP
- Rehab Medical, LLC
- Rehab One Physical Therapy LLC
- Rehabilitative Therapy Services, Inc
- Jenny Marie Reid, PMHNP-BC
- Stacey C Reid, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.