Mobile Rehab PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MOBILE REHAB PLLC

Practice address

3810 Clairmont Rd
Bismark, ND 58503

Phone

(406) 939-3848

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew George Leblanc, PTNPI 1326477654

Title

Physical Therapist

Phone

(406) 939-3848

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 4

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.

• Matthew Leblanc, OTR/L

  • Occupational Therapist
  • Bismarck, ND
  • NPI 1326477654
  Medicare reassignment Care Compare group NPD Authorized official
• Bryce Fast

  • Physical Therapist
  • Bismarck, ND
  • NPI 1821382508
  Medicare reassignment Care Compare group NPD
• Andrew Johnson, DPT

  • Physical Therapist
  • Bismarck, ND
  • NPI 1023633443
  Medicare reassignment Care Compare group NPD
• Nicole Halderman, PT, DPT

  • Physical Therapist
  • Bismarck, ND
  • NPI 1689199002
  Medicare reassignment NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1568057917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 CLAIRMONT RD",
            "city": "BISMARK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "406-939-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CLAIRMONT RD",
            "city": "BISMARK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "406-939-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-939-3848",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Knopik, CERTIFIED PEER SUPPO
• Rachel Lees
• Shinteiria Mykeisha Majisi
• Zachary Thomas Miller
• Lauren K Milovitch-Sera, DPT
• Roberta Mueller, CERTIFIED PEER SUPPR
• Rick L Paulson, MD
• Prairie Rose Family Dentists
• Gretchen Lee Schuchard, LMSW
• Megan Bess Strand, MD

• Occupational Therapist in Bismark, ND
• Providers in Bismark, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.