Organization Active NPI

Total Rehab Solution, LLC.

  • Physical Therapist
  • Grovetown, GA
National Provider Identifier
1386493724
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOTAL REHAB SOLUTION, LLC.
Practice address
4122 Nicoles Lane
Grovetown, GA 30813-4224
Phone
(706) 825-8056
Fax
(678) 737-1239
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Krishan Mohan Vaid, PTNPI 1417962374
Title
Ceo
Phone
(706) 825-8056

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4122 Nicoles Lane
Grovetown, GA 30813-4224

Mailing address

PO Box 59
Grovetown, GA 30813-0059
Phone (706) 825-8056

National Provider Directory

National Provider Directory

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": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1386493724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130059",
            "telephone_number": "706-825-8056",
            "fax_number": "678-737-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 NICOLES LANE",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308134224",
            "telephone_number": "706-825-8056",
            "fax_number": "678-737-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL REHAB SOLUTION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-825-8056",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.