Active NPI
Rehab Associates, LLC
- Physical Therapy Clinic/Center
- Pelham, AL
National Provider Identifier
1427617828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- REHAB ASSOCIATES, LLC
- Practice address
- 3143 Pelham Pkwy Ste 400
Pelham, AL 35124-6301 - Phone
- (205) 664-3197
- Fax
- (205) 621-5686
- NPI assigned
- Jun 10, 2019
- Organization subpart
- Yes
- Parent organization
- SELECT MEDICAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
3143 Pelham Pkwy Ste 400
Pelham, AL 35124-6301
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names 1
- Champion Sports Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050131000932 | AL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 0446168694 |
17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vestavia Hills, AL |
Other NPIs on the same Medicare enrollment 17
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Clinic/Center
- Vestavia Hills, AL
- NPI 1245876275
O20050131000932
National Provider Directory
National Provider Directory- Part of
- Select Medical Corporation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1427617828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 PELHAM PKWY STE 400",
"city": "PELHAM",
"state": "AL",
"postal_code": "351246301",
"telephone_number": "205-664-3197",
"fax_number": "205-621-5686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB ASSOCIATES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SELECT MEDICAL",
"enumeration_date": "2019-06-10",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Champion Sports Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Champion Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.