Organization Active NPI

Independence Rehab Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1366624223
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0098372 Issued in TX
Legal business name
INDEPENDENCE REHAB EQUIPMENT INC
Practice address
8844 Tradeway St
San Antonio, TX 78217-6115
Phone
(210) 832-9770
Fax
(210) 832-0010
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mr. Ken C. Healy
Title
President
Phone
(210) 832-9770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0098372 TX Primary
Customized Equipment (DME) 332BC3200X 0098372 TX

Addresses

Primary practice location

8844 Tradeway St
San Antonio, TX 78217-6115

Mailing address

8844 Tradeway St
San Antonio, TX 78217-6115
Phone (210) 832-9770

Other names 1

  • Independence Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

8844 Tradeway St
San Antonio, TX 78217
Phone (210) 832-9770

Practitioners & affiliated clinicians

Practitioners 1

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1366624223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8844 TRADEWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176115",
            "telephone_number": "210-832-9770",
            "fax_number": "210-832-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8844 TRADEWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176115",
            "telephone_number": "210-832-9770",
            "fax_number": "210-832-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE REHAB EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-832-9770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0098372",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0098372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.