First Street Rehab Inc

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-00777 Issued in KS

Legal business name

FIRST STREET REHAB INC

Practice address

607 E 1St Ave
St John, KS 67576-2223

Phone

(620) 549-3757

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dwight Neil Huston, PTA

Title

President

Phone

(620) 549-3757

Specialties & licenses 1

Addresses

Practitioners 3

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

• Heather Susan Dubois, P.T.

  • Physical Therapist
  • Great Bend, KS
  • NPI 1740210376
  NPD (past)
• Justina Marie Kostner, PT

  • Physical Therapist
  • Kingman, KS
  • NPI 1215088448
  NPD (past)
• Stanley Muiruri Mairungi, OTR

  • Occupational Therapist
  • Great Bend, KS
  • NPI 1962502930
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609857366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E 1ST AVE",
            "address_2": "PO BOX 14",
            "city": "ST JOHN",
            "state": "KS",
            "postal_code": "675762223",
            "telephone_number": "620-549-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E 1ST AVE",
            "city": "ST JOHN",
            "state": "KS",
            "postal_code": "675762223",
            "telephone_number": "620-549-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STREET REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSTON",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-549-3757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-00777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Davis, PHARMD
• Eloise Penka Doran, P.T.
• Edwards County Hospital and Healthcare Center
• Fredrick J Farmer III, D.O.
• Carl C Feril Jr., LCMFT
• Ashlyn Nicole Fisher, DO
• Kylie Gaughan, M.S., CFY-SLP
• Heart of Kansas Family Health Care, Inc.
• Joe Rosenberg D.D.S., P.a.
• Kenwood Business LLC

• Physical Therapy Assistant in St John, KS
• Providers in St John, KS by specialty
• Physical Therapy Assistant in Kansas

• 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.