NPIMap

Organization Active NPI

Rehab Concepts LLC

  • Physical Therapist
  • Guilford, CT
National Provider Identifier
1326100702
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB CONCEPTS LLC
Practice address
753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749
Phone
(203) 458-6268
Fax
(203) 458-9230
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Mary Jane Fegan, PTNPI 1023095106
Title
Owner
Phone
(203) 458-6268

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749

Mailing address

753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749
Phone (203) 458-6268

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000546 CT Part B Supplier - Clinic/Group Practice 9335036185 Receives reassigned benefits from 8 practitioners
Practice locations: Guilford, CT; Old Saybrook, CT

National Provider Directory

National Provider Directory

Locations

753 Boston Post Rd
Ste 101
Guilford, CT 06437
Phone (203) 458-6268

75 Main St
Ste 1
Old Saybrook, CT 06475
Phone (860) 388-6268

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1326100702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 BOSTON POST RD",
            "address_2": "SUITE 101",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372749",
            "telephone_number": "203-458-6268",
            "fax_number": "203-458-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 BOSTON POST RD",
            "address_2": "SUITE 101",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372749",
            "telephone_number": "203-458-6268",
            "fax_number": "203-458-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "FEGAN",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-458-6268",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.