NPIMap

Organization Active NPI

Comprehensive Rehab Incorporated

Doing business as Comprehensive Rehab Inc.

  • Rehabilitation Clinic/Center
  • Clinton, IA
National Provider Identifier
1386655272
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
COMPREHENSIVE REHAB INCORPORATED
Doing business as
Comprehensive Rehab Inc.
Practice address
1377 11TH St NW
Clinton, IA 52732-5068
Phone
(563) 241-4230
Fax
(563) 519-4235
NPI assigned
Aug 10, 2006
Last updated
Nov 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Billie Jo Horner
Title
Secretary /Treasurer
Phone
(563) 241-4230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

1377 11TH St NW
Clinton, IA 52732-5068

Mailing address

1377 11TH St NW
Clinton, IA 52732-5068
Phone (563) 241-4230

Other identifiers 3

IdentifierTypeStateIssuer
166571MedicaidIA
I7284MedicaidIA
0665711MedicaidIA

Other names 1

  • Comprehensive Rehab Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040507000792 IA Part B Supplier - Clinic/Group Practice 0840289633 Receives reassigned benefits from 15 practitioners
Practice locations: Clinton, IA; Maquoketa, IA
O20040908000634 IA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0840289633 Practice locations: Maquoketa, IA; Clinton, IA; Muscatine, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386655272. Details of each certification follow.

  • CCN 166571 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 166571

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMPREHENSIVE REHAB INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 2, 2001
Last certification
Sep 2, 2020
Ownership / control type
Proprietary
Facility address
1377 11TH Street NW
Clinton, IA 52732

National Provider Directory

National Provider Directory

Locations

1377 11th St NW
Clinton, IA 52732
Phone (563) 241-4230

4440 N Brady St
Ste 2
Davenport, IA 52806
Phone (563) 241-4230

4624 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 241-4230

221 E 2nd St
De Witt, IA 52742
Phone (563) 659-0768

903 W Platt St
Maquoketa, IA 52060
Phone (563) 241-4230

2016 Cedar Plaza Dr
Ste 9
Muscatine, IA 52761
Phone (563) 241-4230

2604 2nd Ave
Ste 6
Muscatine, IA 52761
Phone (563) 262-0253

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1386655272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 11TH ST NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325068",
            "telephone_number": "563-241-4230",
            "fax_number": "563-519-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 11TH ST NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325068",
            "telephone_number": "563-241-4230",
            "fax_number": "563-519-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE REHAB INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "BILLIE JO",
        "authorized_official_title_or_position": "SECRETARY /TREASURER",
        "authorized_official_telephone_number": "563-241-4230"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166571",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I7284",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665711",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Rehab Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.