Organization Active NPI

Rehabmart, LLC

  • Durable Medical Equipment & Medical Supplies
  • Elberton, GA
National Provider Identifier
1609124734
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
300803161 Issued in GA
Legal business name
REHABMART, LLC
Practice address
1353 Athens Hwy
Elberton, GA 30635-4484
Phone
(706) 213-1144
NPI assigned
Aug 21, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Hulet Smith Jr., OTR/L
Title
Owner
Phone
(706) 213-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 300803161 GA Primary

Addresses

Primary practice location

1353 Athens Hwy
Elberton, GA 30635-4484

Mailing address

1353 Athens Hwy
Elberton, GA 30635-4484
Phone (706) 213-1144

National Provider Directory

National Provider Directory

Locations

1353 Athens Hwy
Elberton, GA 30635
Phone (706) 213-1144

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1609124734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 ATHENS HWY",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306354484",
            "telephone_number": "706-213-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 ATHENS HWY",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306354484",
            "telephone_number": "706-213-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABMART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HULET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-213-1144",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "300803161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.