NPIMap

Organization Active NPI

Rehab Dynamics, LLC

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1275573073
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LA00435 Issued in LA
Legal business name
REHAB DYNAMICS, LLC
Practice address
103 Northpark Blvd.
Suite 205
Covington, LA 70433-6125
Phone
(985) 871-7878
Fax
(985) 871-9355
NPI assigned
Jun 8, 2006
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Susan H. Blanchard, PTNPI 1396771341
Title
Owner/President
Phone
(985) 871-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LA00435 LA Primary

Addresses

Primary practice location

103 Northpark Blvd.
Suite 205
Covington, LA 70433-6125

Mailing address

103 Northpark Blvd.
Suite 205
Covington, LA 70433-6125
Phone (985) 871-7878

Other names 1

  • Rehab Dynamics, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727001451 LA Part B Supplier - Clinic/Group Practice 5890765929 Receives reassigned benefits from 5 practitioners
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

103 Northpark Blvd
Ste 205
Covington, LA 70433
Phone (985) 871-7878

476 Falconer Dr
Covington, LA 70433
Phone (985) 871-7878

4626 Highway 22
Mandeville, LA 70471
Phone (985) 792-7990

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1275573073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NORTHPARK BLVD.",
            "address_2": "SUITE 205",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336125",
            "telephone_number": "985-871-7878",
            "fax_number": "985-871-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NORTHPARK BLVD.",
            "address_2": "SUITE 205",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336125",
            "telephone_number": "985-871-7878",
            "fax_number": "985-871-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "985-871-7878",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "LA00435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Dynamics, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.