Rehab Technology, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

TA3236 Issued in MS

Legal business name

REHAB TECHNOLOGY, LLC

Practice address

1890 Goodman Rd E
Southaven, MS 38671-9504

Phone

(662) 269-0420

Fax

(662) 589-6525

NPI assigned

Jul 22, 2016

Organization subpart

No

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

Authorized official

Name

Indrakshi Dubey, OTR/L

Title

President

Phone

(662) 269-0420

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Amber Cheree Ellis-Carpenter, OT

  • Occupational Therapist
  • Southaven, MS
  • NPI 1770005795

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1568815744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719504",
            "telephone_number": "662-269-0420",
            "fax_number": "662-589-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719504",
            "telephone_number": "662-269-0420",
            "fax_number": "662-589-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB TECHNOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "DUBEY",
        "authorized_official_first_name": "INDRAKSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-269-0420",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "TA3236",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT0732",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "ST3991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reggie White Cardio-Pulmonary Rehabilitation Center LLC
• Region IV Elderly Outpatient Psychosocial Desoto
• Region IV Mental Health Services-Sunny Road Office
• Regional Hospice Care,LLC
• Rehab Ready, LLC
• Renee Elizabeth Reichert, APRN MSN PMHNP BC
• Jenna Leanne Reid, PA-C
• Relief Chiropractic LLC
• Rells Logistics LLC
• Geza Remak, M.D.

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.