Active NPI
Rehab Resources Unlimited, Inc
- Physical Therapy Clinic/Center
- Tallulah, LA
National Provider Identifier
1609952159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- REHAB RESOURCES UNLIMITED, INC
- Practice address
- 1005 Johnson St
Tallulah, LA 71282-5215 - Phone
- (318) 574-5273
- Fax
- (318) 574-2218
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Fermika Smith
- Title
- Business Manager
- Phone
- (601) 638-4076
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | LA | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
1005 Johnson St
Tallulah, LA 71282-5215
Mailing address
PO Box 822394
Vicksburg, MS 39182-2394
Phone (601) 638-4076
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1476749 | Medicaid | LA | |
| G9304 | Other | LA | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Vicksburg, MS
- NPI 1770665390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609952159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 822394",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391822394",
"telephone_number": "601-638-4076",
"fax_number": "601-638-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 JOHNSON ST",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712825215",
"telephone_number": "318-574-5273",
"fax_number": "318-574-2218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB RESOURCES UNLIMITED, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "FERMIKA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "601-638-4076",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "LA",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1476749",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G9304",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallulah, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.