NPIMap

Organization Active NPI

Rehab & Industrial Services, LLC

  • 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
Practice address
2001 Errecart Blvd
Elko, NV 89801-8333
Phone
(775) 738-2925
Fax
(775) 738-7395
NPI assigned
Jan 15, 2008
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 3

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

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
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

National Provider Directory

National Provider Directory
Tax ID family
Rehab Industrial Services (4 organizations share this tax ID)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Rehab Services of Nevada - Elko Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2019.

{
    "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.