Mahaan Rehab. Services Inc
Organization Active NPI Physical Therapist · Dixon, CA
NPI 1508016759 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1508016759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MAHAAN REHAB. SERVICES INC
- Practice address
- 125 N Lincoln St Ste H
Dixon, CA 95620 - Phone
- (707) 718-0151
- Fax
- (707) 637-8152
- NPI assigned
- Sep 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Haan J Elling, PT
- Title
- Owner
- Phone
- (707) 718-0151
Practitioners 6
-
Haan J Elling, PT
-
Margie Louise Hackett, M.C.
-
Sharon Darlene McCarver, PSY.D.
-
Thomas Michael Smith, PSY.D.
-
Robert Edward Wagner, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130724000858 | CA | Part B Supplier - Clinic/Group Practice | 0446491070 |
Receives reassigned benefits from 2 practitioners Practice locations: Dixon, CA |
National Provider Directory
Locations
125 N Lincoln St
Ste H
Dixon, CA 95620
Phone (707) 718-0151
825 Webster St
Fairfield, CA 94533
Phone (707) 718-0151
825 Webster St
#C
Fairfield, CA 94533
Phone (707) 718-0151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
125 N Lincoln St Ste H
Dixon, CA 95620
Mailing address
125 N Lincoln St Ste H
Dixon, CA 95620-3260
Phone (707) 718-0151
Other practice location 1
125 N Lincoln St Ste H
Dixon, CA 95620
Phone (707) 718-0151
Other providers in Dixon, CA
- Adrian Aldemaro Loarca
- Ana Ruth Lobo-Smithson
- Angela Lockwood
- Longs Drug Stores California LLC
- Asmahan Maayeh
- Rigoberto Maldonado-Chavez
- Nicole Huegle Mank
- Jeanette Garcia Mann
- Faith Matter-Kratzer
- Samantha Rae McCarthy
All providers in Dixon, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.