Active NPI
Excel Rehabilitation, LLC.
- Pediatric Occupational Therapist
- Montgomery, AL
National Provider Identifier
1184714719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2334
- Legal business name
- EXCEL REHABILITATION, LLC.
- Practice address
- 2125 E South Blvd
Montgomery, AL 36116-2409 - Phone
- (334) 532-0220
- Fax
- (334) 532-0221
- NPI assigned
- Oct 13, 2006
- Last updated
- Dec 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rusty G Becker, OTR/L
- Title
- Ceo
- Phone
- (334) 532-0220
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2334 | AL | Primary |
Addresses
Primary practice location
2125 E South Blvd
Montgomery, AL 36116-2409
Mailing address
399 Mountain Ridge Rd
Millbrook, AL 36054-2128
Phone (334) 285-7101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51524863 | Other | AL | BCBS PRO NUMBER |
| 529926860 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
2125 E South Blvd
Montgomery, AL 36116
Phone (334) 288-0240
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Speech-Language Pathologist
- Millbrook, AL
- NPI 1356756803
-
- Occupational Therapist
- Montgomery, AL
- NPI 1316141542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356652800000",
"number": "1184714719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 MOUNTAIN RIDGE RD",
"city": "MILLBROOK",
"state": "AL",
"postal_code": "360542128",
"telephone_number": "334-285-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 E SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162409",
"telephone_number": "334-532-0220",
"fax_number": "334-532-0221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL REHABILITATION, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2012-12-28",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "RUSTY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "334-532-0220",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AL",
"license": "2334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PRO NUMBER",
"identifier": "51524863",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529926860",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.