Organization Active NPI

Family Rehab Services, Inc

  • Physical Therapy Clinic/Center
  • Haleyville, AL
National Provider Identifier
1063699585
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTH3646 Issued in AL
Legal business name
FAMILY REHAB SERVICES, INC
Practice address
902 26TH St
Haleyville, AL 35565-1719
Phone
(205) 485-2213
Fax
(205) 485-2242
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mrs. Jenny Lynn McCullar, MS, PTNPI 1447346325
Title
Owner
Phone
(205) 485-2213

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
Physical Therapy Clinic/Center 261QP2000X PTH3646 AL Primary

Addresses

Primary practice location

902 26TH St
Haleyville, AL 35565-1719

Mailing address

902 26TH St
Haleyville, AL 35565-1719
Phone (205) 485-2213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040710000334 AL Part B Supplier - Clinic/Group Practice 1355329806 Receives reassigned benefits from 1 practitioner
Practice locations: Haleyville, AL

National Provider Directory

National Provider Directory

Locations

1203 21st St
Haleyville, AL 35565
Phone (205) 485-2213

42110 Highway 195
Haleyville, AL 35565
Phone (205) 485-2213

902 26th St
Haleyville, AL 35565
Phone (205) 485-2213

908 26th St
Haleyville, AL 35565
Phone (205) 485-2213

Practitioners & affiliated clinicians

Practitioners 3

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1063699585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 26TH ST",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651719",
            "telephone_number": "205-485-2213",
            "fax_number": "205-485-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 26TH ST",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651719",
            "telephone_number": "205-485-2213",
            "fax_number": "205-485-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY REHAB SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "MCCULLAR",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-485-2213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH3646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.