NPIMap

Organization Active NPI

Rehab & Industrial Services, LLC

Doing business as Rehab Services of Nevada - Elko

  • Physical Therapist
  • Elko, NV
National Provider Identifier
1053597435
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB & INDUSTRIAL SERVICES, LLC
Doing business as
Rehab Services of Nevada - Elko
Practice address
2001 Errecart Blvd
Elko, NV 89801-8333
Phone
(775) 738-2925
Fax
(775) 738-7395
NPI assigned
Jan 15, 2008
Last updated
Aug 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Demarah Gray, DPT
Title
Partner
Phone
(775) 738-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NV Primary

Addresses

Primary practice location

2001 Errecart Blvd
Elko, NV 89801-8333

Mailing address

5855 Brooke Dr
Winnemucca, NV 89445-6151
Phone (775) 738-2925

Other names 1

  • Rehab Services of Nevada - Elko Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001796 NV Part B Supplier - Clinic/Group Practice 4981696572 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elko, NV; Eureka, NV

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Rehab Industrial Serv L4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1053597435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 BROOKE DR",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894456151",
            "telephone_number": "775-738-2925",
            "fax_number": "775-625-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018333",
            "telephone_number": "775-738-2925",
            "fax_number": "775-738-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB & INDUSTRIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DEMARAH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "775-738-2925",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Services of Nevada - Elko",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehab Services of Nevada - Elko",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.