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Prorehab Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Evansville, IN

NPI 1124293030 · NPPES record last updated Apr 25, 2024

Key facts

NPI
1124293030
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
PROREHAB INC
Practice address
415 Crosslake Dr
Suite B
Evansville, IN 47715-8263
Phone
(812) 476-0409
Fax
(812) 476-1016
NPI assigned
Apr 23, 2008
Organization subpart
No

Authorized official

Name
Patrick D Wempe, PT
Title
Ceo
Phone
(812) 476-0409

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 18

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

Practitioners 86

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

View all 86

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930086078 IN DME Supplier - Independently-Practicing Occupational Therapist
DME Supplier - Independently-Practicing Physical Therapist		 1254317217 Practice locations: Evansville, IN

National Provider Directory

Tax ID family
Jill a Crick OT (19 organizations share this tax ID)

Locations

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

415 Crosslake Dr
Suite B
Evansville, IN 47715-8263

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005

Other providers in Evansville, IN

All providers in Evansville, IN · Durable Medical Equipment & Medical Supplies in Indiana

Sources for this page

Verify at the official NPI Registry.