Vibra Rehabilitation Hospital of Southern Indiana, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VIBRA REHABILITATION HOSPITAL OF SOUTHERN INDIANA, LLC

Doing business as

Southern Indiana Rehabilitation Hospital-Skilled Nursing Facility

Practice address

3104 Blackiston Boulevard
New Albany, IN 47150-9579

Phone

(812) 941-8300

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Clint T. Fegan

Title

Sec/Treas

Phone

(717) 591-5700

Specialties & licenses 1

Addresses

Other names 1

• Southern Indiana Rehabilitation Hospital-Skilled Nursing Facility Doing business as

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1427548270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EAST RIVER PARK PLACE E #460",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201560",
            "telephone_number": "559-892-2500",
            "fax_number": "559-892-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLACKISTON BOULEVARD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509579",
            "telephone_number": "812-941-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA REHABILITATION HOSPITAL OF SOUTHERN INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "FEGAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "717-591-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Indiana Rehabilitation Hospital-Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ann Valois
• Cody Varner
• Vaughn Chiropractic PSC
• Madisson Veatch-Smith, RDN
• Mary Christin Veith, PT
• Vibra Rehabilitation Hospital of Southern Indiana, LLC
• Sarah Villa
• Katie Lyn Vincent, CCC-SLP
• Megan Brinkworth Vissing, M.D.
• Vitality Senior Services

• Skilled Nursing Facility in New Albany, IN
• Providers in New Albany, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.