Active NPI
RWW Outpatient Rehab Services, Inc.
- In Home Supportive Care Agency
- Brewer, ME
National Provider Identifier
1629409867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- RWW OUTPATIENT REHAB SERVICES, INC.
- Practice address
- 248 State St
Brewer, ME 04412-1519 - Phone
- (207) 989-2034
- NPI assigned
- Dec 12, 2013
- 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
- Mr. Timothy Whobrey
- Title
- Provider Enrollment
- Phone
- (502) 630-7249
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
248 State St
Brewer, ME 04412-1519
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140226000087 | ME | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 4183852130 | Practice locations: Brewer, ME; Fairfield, ME; Rockland, ME |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1629409867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N WHITTINGTON PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402227101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 STATE ST",
"city": "BREWER",
"state": "ME",
"postal_code": "044121519",
"telephone_number": "207-989-2034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RWW OUTPATIENT REHAB SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "WHOBREY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "502-630-7249",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.