Reliant Rehab

Key facts

NPI

1235599770

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

License

000181 (IA)

Legal business name

RELIANT REHAB

Practice address

25995 Redwood Ave
Soldier, IA 51572-4070

Phone

(712) 884-2386

NPI assigned

Feb 25, 2016

Organization subpart

No

Authorized official

Name

Mrs. Leona Christine Kennedy, PTA

Title

Physical Therapist Assistant

Phone

(605) 321-9737

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 25, 2016.

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1235599770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25995 REDWOOD AVE",
            "city": "SOLDIER",
            "state": "IA",
            "postal_code": "515724070",
            "telephone_number": "712-884-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25995 REDWOOD AVE",
            "city": "SOLDIER",
            "state": "IA",
            "postal_code": "515724070",
            "telephone_number": "712-884-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "605-321-9737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "000181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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