Phoenix Rehab, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

101011 Issued in KY

Legal business name

PHOENIX REHAB, LLC

Practice address

1600 Scottsville Rd
Suite 101
Bowling Green, KY 42104-3217

Phone

(207) 781-0028

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rex A. Paggeot

Title

Cfo

Phone

(727) 709-7701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Muir Salmon

  • Speech-Language Pathologist
  • Taylor, MI
  • NPI 1891027744
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1437332178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SAINT MATTHEWS AVE",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073191",
            "telephone_number": "502-897-1700",
            "fax_number": "502-897-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SCOTTSVILLE RD",
            "address_2": "SUITE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043217",
            "telephone_number": "207-781-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "PAGGEOT",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-709-7701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "101011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Lynn Phelps
• Alexandra Phen, PHARMD
• James K Phillips Jr., MD
• Joshua Daniel Phillips, D.M.D.
• Phoenix Rehab Group, LLC
• Phoenix Wellness Group, LLC
• Physician Management Services PSC
• Physicians Rehab Solution LLC
• Debra Pickering, MS BCBA LBA
• Christina Pickett

• Rehabilitation Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Rehabilitation Clinic/Center in Kentucky

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