NPIMap

Organization Active NPI

Rehabilitation Associates Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Shelton, CT
National Provider Identifier
1114184157
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
REHABILITATION ASSOCIATES INC.
Practice address
555 Bridgeport Ave
Shelton, CT 06484-4749
Phone
(203) 922-1773
Fax
(203) 924-2334
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Carol Landsman, M.A.NPI 1053344150
Title
Director
Phone
(203) 384-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

555 Bridgeport Ave
Shelton, CT 06484-4749

Mailing address

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061013000187 CT Part A Provider - Comprehensive Outpatient Rehabilitation Facility 8022905322 Practice locations: Shelton, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114184157. Details of each certification follow.

  • CCN 074508 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 074508

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHABILTATION ASSOCIATES OF SHELTON
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Jul 21, 1994
Last certification
Nov 9, 2022
Ownership / control type
Proprietary
Facility address
555 Bridgeport Ave
Shelton, CT 06484

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

60 Katona Dr
Fairfield, CT 06824
Phone (203) 384-8681

555 Bridgeport Ave
Shelton, CT 06484
Phone (203) 550-2755

Practitioners & affiliated clinicians

Practitioners 91

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.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1114184157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BRIDGEPORT AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844749",
            "telephone_number": "203-922-1773",
            "fax_number": "203-924-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BRIDGEPORT AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844749",
            "telephone_number": "203-922-1773",
            "fax_number": "203-924-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "LANDSMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-384-8681",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.