Organization Active NPI

Total Rehabilitation, Inc

  • Prosthetic/Orthotic Supplier
  • Fort Smith, AR
National Provider Identifier
1174902340
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
OPP00255 Issued in AR
Legal business name
TOTAL REHABILITATION, INC
Practice address
5905 Remington Cir
Fort Smith, AR 72903-6523
Phone
(479) 452-7773
Fax
(479) 452-7774
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Francois Van Der Watt, CPO
Title
Certified Prosthetist Orthotist
Phone
(479) 452-7773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X OPP00255 AR Primary

Addresses

Primary practice location

5905 Remington Cir
Fort Smith, AR 72903-6523

Mailing address

PO Box 11122
Fort Smith, AR 72917-1122
Phone (479) 452-7773

Other names 1

  • Van Der Watt Prosthetics & Orthotics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1174902340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11122",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171122",
            "telephone_number": "479-452-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 REMINGTON CIR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036523",
            "telephone_number": "479-452-7773",
            "fax_number": "479-452-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "VAN DER WATT",
        "authorized_official_first_name": "FRANCOIS",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST ORTHOTIST",
        "authorized_official_telephone_number": "479-452-7773",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AR",
            "license": "OPP00255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Der Watt Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.