Complete Rehab & Wellness Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COMPLETE REHAB & WELLNESS CENTER LLC

Practice address

9825 Giles Rd
Suite F
La Vista, NE 68128-2927

Phone

(402) 339-2283

Fax

(402) 339-2289

NPI assigned

Aug 6, 2011

Organization subpart

No

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

Authorized official

Name

Peter K. Young, D. C.

Title

Owner/Ceo

Phone

(402) 339-2283

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1312588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312588800000",
    "number": "1437438546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 GILES RD",
            "address_2": "SUITE F",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282927",
            "telephone_number": "402-339-2283",
            "fax_number": "402-339-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 GILES RD",
            "address_2": "SUITE F",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282927",
            "telephone_number": "402-339-2283",
            "fax_number": "402-339-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE REHAB & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-06",
        "last_updated": "2011-08-06",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "402-339-2283",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Colegrove
• Frank R Coleman, LADC
• Jennifer Collins, PHARMD
• Community Rehab, Inc (Community Rehab)
• Compassionate Care Hospice, LLC
• Alizayah Contreras
• Gayle Cook
• Christopher Cooper, DDS
• Roxana Cordero
• Michael Lindsay Cordwin, RP

• General Practice Physician in La Vista, NE
• Providers in La Vista, NE by specialty
• General Practice Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2011; 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.