Organization Active NPI

Rehab Services Group LLC

  • Family Medicine Physician
  • Crossville, AL
National Provider Identifier
1467180885
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REHAB SERVICES GROUP LLC
Practice address
15239 Al Highway 68
Crossville, AL 35962-3481
Phone
(256) 925-0469
Fax
(256) 925-0553
NPI assigned
Aug 12, 2022
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Raymond Ufford, MDNPI 1679568752
Title
MD/Owner
Phone
(256) 925-0469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

15239 Al Highway 68
Crossville, AL 35962-3481

Mailing address

41718 Al Highway 75
Geraldine, AL 35974-3490
Phone (256) 925-0469

Other identifiers 1

IdentifierTypeStateIssuer
292820MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107001218 AL Part B Supplier - Clinic/Group Practice 4880061787 Receives reassigned benefits from 3 practitioners
Practice locations: Geraldine, AL

National Provider Directory

National Provider Directory

Locations

15239 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7173

41718 AL Highway 75
Geraldine, AL 35974
Phone (256) 659-4321

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1467180885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41718 AL HIGHWAY 75",
            "city": "GERALDINE",
            "state": "AL",
            "postal_code": "359743490",
            "telephone_number": "256-925-0469",
            "fax_number": "256-659-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15239 AL HIGHWAY 68",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "359623481",
            "telephone_number": "256-925-0469",
            "fax_number": "256-925-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SERVICES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "UFFORD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "256-925-0469",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292820",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.

Verify at the official NPI Registry.