Organization Active NPI

Mobile Rehab,LLC

  • Durable Medical Equipment & Medical Supplies
  • Nicholasville, KY
National Provider Identifier
1487781530
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOBILE REHAB,LLC
Practice address
1060 Elizabeth Dr
Suite # 1
Nicholasville, KY 40356-9527
Phone
(859) 881-4444
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Timothy McGuire
Title
Owner
Phone
(859) 881-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1060 Elizabeth Dr
Suite # 1
Nicholasville, KY 40356-9527

Mailing address

1060 Elizabeth Dr
Suite # 1
Nicholasville, KY 40356-9527
Phone (859) 881-4444

Other identifiers 1

IdentifierTypeStateIssuer
90008400MedicaidKY

National Provider Directory

National Provider Directory

Locations

1060 Elizabeth St
Unit 1
Nicholasville, KY 40356
Phone (859) 881-4444

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1487781530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 ELIZABETH DR",
            "address_2": "SUITE # 1",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569527",
            "telephone_number": "859-881-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 ELIZABETH DR",
            "address_2": "SUITE # 1",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569527",
            "telephone_number": "859-881-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-881-4444"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90008400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.