NPIMap

Organization Active NPI

Reliant Rehab Service & Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • La Crosse, WI
National Provider Identifier
1639349905
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
004000310001101 Issued in WI
Legal business name
RELIANT REHAB SERVICE & SUPPLY, LLC
Practice address
709 Gillette St
#2
La Crosse, WI 54603-2381
Phone
(608) 782-0690
Fax
(608) 782-0606
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Ryan D. Burr, CPA
Title
Owner
Phone
(715) 552-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 004000310001101 WI Primary

Addresses

Primary practice location

709 Gillette St
#2
La Crosse, WI 54603-2381

Mailing address

709 Gillette St
#2
La Crosse, WI 54603-2381

National Provider Directory

National Provider Directory
Tax ID family
Reliant Rehab Service Supply LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

709 Gillette St
Ste 2
La Crosse, WI 54603
Phone (608) 782-0690

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1639349905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 GILLETTE ST",
            "address_2": "#2",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 GILLETTE ST",
            "address_2": "#2",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032381",
            "telephone_number": "608-782-0690",
            "fax_number": "608-782-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT REHAB SERVICE & SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-552-3711",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "004000310001101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.