Organization Active NPI

Rehab Institute, Inc

Doing business as Qualls & Co

  • Physical Therapy Clinic/Center
  • Sulphur, LA
National Provider Identifier
1548324759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
00205 Issued in LA
Legal business name
REHAB INSTITUTE, INC
Doing business as
Qualls & Co
Practice address
702 1St Ave
Sulphur, LA 70663-3423
Phone
(337) 528-2828
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Wayne Qualls, PHYSICAL THERAPISTNPI 1992869119
Title
Owner
Phone
(337) 528-2828

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
Physical Therapy Clinic/Center 261QP2000X 00205 LA Primary

Addresses

Primary practice location

702 1St Ave
Sulphur, LA 70663-3423

Mailing address

702 1St Ave
Sulphur, LA 70663-3423
Phone (337) 528-2828

Other identifiers 1

IdentifierTypeStateIssuer
1655279MedicaidLA

Other names 1

  • Qualls & Co Doing business as

National Provider Directory

National Provider Directory

Locations

913 E Fourth St
Dequincy, LA 70633
Phone (337) 304-8951

Practitioners & affiliated clinicians

Practitioners 6

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548324759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633423",
            "telephone_number": "337-528-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633423",
            "telephone_number": "337-528-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-528-2828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "00205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655279",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualls & Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.