Full Range Rehab LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FULL RANGE REHAB LLC

Practice address

9010 Goldpark Dr
West Chester, OH 45011-9764

Phone

(513) 330-5995

Fax

(800) 819-7985

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Barbara Rivers

Title

Quality and Compliance Manager

Phone

(513) 330-5995

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1104987684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 GOLDPARK DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450119764",
            "telephone_number": "513-330-5995",
            "fax_number": "800-819-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 GOLDPARK DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450119764",
            "telephone_number": "513-330-5995",
            "fax_number": "800-819-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL RANGE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "QUALITY AND COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "513-330-5995"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7463860001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Brinker Frey
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• Nicole Leigh Fry, P.T.
• Erika Fugett
• Michael Daniel Fuller, D.D.S.
• Colleen Furey, PSY.D.
• Sama Alkalaf Gade, DMD
• Kirsten Gaerke
• Ahmed M Gafar

• Durable Medical Equipment & Medical Supplies in West Chester, OH
• Providers in West Chester, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.