Organization Active NPI

Rome Rehabilitation Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Rome, GA
National Provider Identifier
1144212564
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ROME REHABILITATION CENTER INC
Practice address
1801 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone
(706) 802-0780
Fax
(706) 802-0786
NPI assigned
Aug 22, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Tamsen Beasley, MSPT CHTNPI 1497757371
Title
Owner
Phone
(706) 802-0780

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 Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1801 Martha Berry Blvd NW
Rome, GA 30165-1625

Mailing address

1801 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (706) 802-0780

Other identifiers 1

IdentifierTypeStateIssuer
21168648367OtherBEECHSTREET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144212564. Details of each certification follow.

  • CCN 116779 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116779

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
ROME REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 9, 1997
Last certification
Jun 6, 2016
Ownership / control type
Proprietary
Facility address
1801 Martha Berry Blvd
Rome, GA 30165

National Provider Directory

National Provider Directory

Locations

1801 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 802-0780

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": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1144212564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651625",
            "telephone_number": "706-802-0780",
            "fax_number": "706-802-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651625",
            "telephone_number": "706-802-0780",
            "fax_number": "706-802-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "TAMSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-802-0780",
        "authorized_official_credential": "MSPT  CHT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21168648367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.