Organization Active NPI

Core Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Newton, KS
National Provider Identifier
1295170769
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04-28465 Issued in KS
Legal business name
CORE REHAB LLC
Practice address
700 Medical Center Dr
Newton, KS 67114-9013
Phone
(316) 630-0609
Fax
(316) 630-0564
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Dr. Xavier Francis NG, M.D.NPI 1265530182
Title
Owner
Phone
(316) 630-0609

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 04-28465 KS Primary

Addresses

Primary practice location

700 Medical Center Dr
Newton, KS 67114-9013

Mailing address

2561 N Rosemont CT
Wichita, KS 67228-8020
Phone (316) 630-0609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161026002365 KS Part B Supplier - Clinic/Group Practice 7517245558 Receives reassigned benefits from 2 practitioners
Practice locations: Park City, KS

National Provider Directory

National Provider Directory

Locations

425 E 61st St N
Park City, KS 67219
Phone (316) 744-2001

425 E 61st St N
Ste 2
Park City, KS 67219
Phone (316) 744-3400

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": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1295170769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 N ROSEMONT CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672288020",
            "telephone_number": "316-630-0609",
            "fax_number": "316-630-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149013",
            "telephone_number": "316-630-0609",
            "fax_number": "316-630-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-630-0609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-28465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.