Rehab and Wellness Clinic, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

REHAB AND WELLNESS CLINIC, LLC

Practice address

129 Stephen J White Blvd
Talladega, AL 35160

Phone

(256) 362-7009

Fax

(256) 362-0190

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

Samia Moizuddin, M.D.NPI 1265453120

Title

Physician

Phone

(205) 387-9787

Specialties & licenses 1

Addresses

Tax ID family

Rehab and Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rehab and Wellness Clinic, LLC

  • Pain Medicine Physician
  • Sylacauga, AL
  • NPI 1043870231
  NPD tax ID
• Rehab and Wellness LLC

  • Pain Medicine Physician
  • Lincoln, AL
  • NPI 1952026924
  NPD tax ID

Practitioners 1

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

• Samia Sana Moizuddin, M.D.

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1265453120
  NPD (past) Authorized official

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1235799404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-387-9787",
            "fax_number": "205-544-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 STEPHEN J WHITE BLVD",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "35160",
            "telephone_number": "256-362-7009",
            "fax_number": "256-362-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "MOIZUDDIN",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-387-9787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Talladega, AL
• Providers in Talladega, AL by specialty
• Pain Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.