Organization Active NPI

Althea Rehabilitation

  • Skilled Nursing Facility
  • Flagstaff, AZ
National Provider Identifier
1205193901
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3329 Issued in AZ
Legal business name
ALTHEA REHABILITATION
Practice address
3397 S Carol Dr
Flagstaff, AZ 86001-9010
Phone
(928) 853-5906
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dan Loera, OCCUPATIONAL THERAIS
Title
Rehab Manager
Phone
(928) 853-5906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3329 AZ Primary

Addresses

Primary practice location

3397 S Carol Dr
Flagstaff, AZ 86001-9010

Mailing address

3397 S Carol Dr
Flagstaff, AZ 86001-9010
Phone (928) 853-5906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1205193901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 S CAROL DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019010",
            "telephone_number": "928-853-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 S CAROL DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019010",
            "telephone_number": "928-853-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTHEA REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "LOERA",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "928-853-5906",
        "authorized_official_credential": "OCCUPATIONAL THERAIS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.