Organization Active NPI

Rehabfocus LLC

  • Physical Therapist
  • Mount Vernon, IN
National Provider Identifier
1235673989
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABFOCUS LLC
Practice address
1250 Main St
#1282
Mount Vernon, IN 47620
Phone
(812) 549-6512
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Michael Constancio Respicio Mahinay VI, PTNPI 1225235492
Title
Owner
Phone
(812) 549-6512

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X IN Primary

Addresses

Primary practice location

1250 Main St
#1282
Mount Vernon, IN 47620

Mailing address

3325 Yale Dr
Evansville, IN 47711-7305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170125000645 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355623414 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Vernon, IN

National Provider Directory

National Provider Directory

Locations

1282 Main St
Ste 1282
Mount Vernon, IN 47620

1272 Main St
Mount Vernon, IN 47620
Phone (812) 307-1089

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1235673989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 YALE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477117305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MAIN ST",
            "address_2": "#1282",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "47620",
            "telephone_number": "812-549-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABFOCUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "MAHINAY",
        "authorized_official_first_name": "MICHAEL CONSTANCIO",
        "authorized_official_middle_name": "RESPICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-549-6512",
        "authorized_official_name_suffix": "VI",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.