Innervation Rehabilitation LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNERVATION REHABILITATION LLC

Practice address

1401 Radam Cir
Austin, TX 78745-2906

Phone

(512) 619-5980

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Clayton EdginNPI 1538938436

Title

Owner

Phone

(512) 619-5980

Specialties & licenses 1

Addresses

Other names 1

• Innervation Rehabilitation LLC Doing business as

Practitioners 1

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

• Clayton Edgin

  • Home Health Agency
  • Austin, TX
  • NPI 1538938436

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1083481097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 RADAM CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452906",
            "telephone_number": "512-619-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RADAM CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452906",
            "telephone_number": "512-619-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVATION REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "EDGIN",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-619-5980"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innervation Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innervation Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.