Organization Active NPI

Childrens First Rehab Services, Inc.

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1467419770
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHILDRENS FIRST REHAB SERVICES, INC.
Practice address
1610 Division St
Evansville, IN 47711-6683
Phone
(812) 428-6915
Fax
(812) 491-9615
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mrs. Elsa M De Jesus
Title
Secretary/Treasurer
Phone
(812) 428-6915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1610 Division St
Evansville, IN 47711-6683

Mailing address

5129 Warren Dr
Evansville, IN 47710-4035
Phone (812) 428-6915

Other identifiers 1

IdentifierTypeStateIssuer
200367520AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1610 E Division St
Evansville, IN 47711
Phone (812) 428-6915

3211 Frederica St
Ste E
Owensboro, KY 42301
Phone (812) 428-6915

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1467419770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 WARREN DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477104035",
            "telephone_number": "812-428-6915",
            "fax_number": "812-491-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 DIVISION ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477116683",
            "telephone_number": "812-428-6915",
            "fax_number": "812-491-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS FIRST REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "812-428-6915",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200367520A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.