Organization Active NPI

Rehabilitation Management Systems

  • Specialist
  • Sacramento, CA
National Provider Identifier
1063693885
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A40497 Issued in CA
Legal business name
REHABILITATION MANAGEMENT SYSTEMS
Practice address
648 Northfield Dr
Sacramento, CA 95833-2442
Phone
(916) 927-3422
Fax
(916) 927-1245
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Michael Jerome Henry, MDNPI 1447324678
Title
Owner
Phone
(916) 927-3422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A40497 CA Primary

Addresses

Primary practice location

648 Northfield Dr
Sacramento, CA 95833-2442

Mailing address

648 Northfield Dr
Sacramento, CA 95833-2442
Phone (916) 927-3422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000925 CA Part B Supplier - Clinic/Group Practice 2860384575 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

6510 Antelope Rd
Citrus Hts, CA 95621
Phone (916) 728-4444

104 Margaret Ln
Ste B
Grass Valley, CA 95945
Phone (530) 272-1954

648 Northfield Dr
Sacramento, CA 95833
Phone (916) 564-0400

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1063693885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 NORTHFIELD DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332442",
            "telephone_number": "916-927-3422",
            "fax_number": "916-927-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 NORTHFIELD DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332442",
            "telephone_number": "916-927-3422",
            "fax_number": "916-927-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MANAGEMENT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-927-3422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.