Summit Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUMMIT REHAB LLC

Practice address

3628 Rolling Ridge Way
Jeffersonville, IN 47130-6908

Phone

(502) 819-6363

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Basa IV

Title

Ceo

Phone

(502) 821-4174

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jerome Lopez, PT

  • Physical Therapist
  • Sellersburg, IN
  • NPI 1326283607
  NPD

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1154091353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 ROLLING RIDGE WAY",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 ROLLING RIDGE WAY",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306908",
            "telephone_number": "502-819-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "BASA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-821-4174",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Stonecipher, RBT
• Rayna Sullivan
• Sam Sultan, MD
• Jerry Alan Summerfield, LMHC
• Audra L Summers, ARNP
• Sydney Sumner
• Amy Irene Surber
• Surgical Associates Southern Indiana, PSC
• Kenneth Sutherland
• Alexus Elisabeth Sutton

• Physical Therapy Clinic/Center in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.