Mobile Rehab Group LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOBILE REHAB GROUP LLC

Practice address

516 S Wooddale PL
Eagle, ID 83616-7713

Phone

(986) 224-8424

Fax

(208) 504-2821

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

James Phillip Johnson, MPT

Title

Member

Phone

(986) 224-8424

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elise Talboy, DPT

  • Physical Therapist
  • Eagle, ID
  • NPI 1134606437
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1629685029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S WOODDALE PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167713",
            "telephone_number": "986-224-8424",
            "fax_number": "208-504-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S WOODDALE PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167713",
            "telephone_number": "986-224-8424",
            "fax_number": "208-504-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE REHAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "986-224-8424",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jo Miller, LPC
• Sarah Miller, OTA
• Michael R, Minas, MD
• Jill Mitchell, PH.D.
• Kristen Mitchell, DPT
• Modern Psychotherapy Services
• Modern Speech and Myofunctional Therapy, LLC
• Megan McConkey Moeller, IBCLC, LMT, CST-T
• Elwalid Mohamed
• Jessie Jylene Monahan, LMT

• Physical Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.