Delta Rehab Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

DELTA REHAB SERVICES LLC

Practice address

7956 Vaughn Rd Ste 202
Montgomery, AL 36116-6625

Phone

(334) 392-9214

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Nacole Jordan, OTD, MSOT, OTR/L

Title

Ceo/Occupational Therapist

Phone

(334) 392-9214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1245720002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VAUGHN RD STE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7956 VAUGHN RD STE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166625",
            "telephone_number": "334-392-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "NACOLE",
        "authorized_official_title_or_position": "CEO/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "334-392-9214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, MSOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Deloney
• George William Demuth, MD
• Sharon Lynne Demuth, RN BED
• David Auston Deneve, DPT
• Madison Deneve, MS, OTR/L
• Susan Denham, OTR, CHT

• Rehabilitation Clinic/Center in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Rehabilitation Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.