Rebuild Rehabilitation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4021 Issued in TN

Legal business name

REBUILD REHABILITATION

Practice address

10143 Brussels LN
Cordova, TN 38016-0572

Phone

(562) 508-0429

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Patrick Jermaal Greene, OTR/L

Title

Owner/Administrator

Phone

(562) 508-0429

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1336511161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10143 BRUSSELS LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160572",
            "telephone_number": "562-508-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10143 BRUSSELS LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160572",
            "telephone_number": "562-508-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JERMAAL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "562-508-0429",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Ray, M.S. CCC-SLP
• Ella Ray, NP-C
• Kamira Nicole Ray
• Husain Abbas Razvi
• Riniya Reaves, RBT
• Kimberly Lynn Redd, LPC-MHSP
• Diane Marie Redding, OD
• John Pearson Redmond, PMHNP-BC
• Monica Denise Reed, BCBA, LBA
• Renee Reed, RBT

• Home Health Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.