Organization Active NPI

R & M Rehab, LLC

  • Durable Medical Equipment & Medical Supplies
  • Waukesha, WI
National Provider Identifier
1164562625
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
004-0003037148-01 Issued in WI
Legal business name
R & M REHAB, LLC
Practice address
1801 Airport Rd Ste C
Waukesha, WI 53188-2477
Phone
(262) 754-0460
Fax
(262) 754-0463
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mr. Mike Buckholdt
Title
President
Phone
(262) 754-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 004-0003037148-01 WI Primary

Addresses

Primary practice location

1801 Airport Rd Ste C
Waukesha, WI 53188-2477

Mailing address

1801 Airport Rd Ste C
Waukesha, WI 53188-2477
Phone (262) 754-0460

Other identifiers 1

IdentifierTypeStateIssuer
004-0003037148-01OtherWISELLER'S PERMIT

Other names 1

  • R & M Distributing, LLC Other name

National Provider Directory

National Provider Directory

Locations

3330 Gateway Rd
Brookfield, WI 53045
Phone (262) 754-0460

Practitioners & affiliated clinicians

Practitioners 1

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1164562625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AIRPORT RD STE C",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882477",
            "telephone_number": "262-754-0460",
            "fax_number": "262-754-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AIRPORT RD STE C",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882477",
            "telephone_number": "262-754-0460",
            "fax_number": "262-754-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & M REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLDT",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-754-0460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "004-0003037148-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELLER'S PERMIT",
            "identifier": "004-0003037148-01",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R & M Distributing, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "R & M Distributing, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.