Rehabone Medical Group, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G74906 Issued in CA

Legal business name

REHABONE MEDICAL GROUP, INC.

Practice address

175 N Jackson Ave
Ste 109
San Jose, CA 95116-1909

Phone

(831) 225-0209

Fax

(408) 445-0875

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Amber Mitchell

Title

Ncpdp Coordinator

Phone

(479) 636-9702

Specialties & licenses 1

Addresses

Other names 1

• RehabOne Medical Group Inc Ste 4 Other name

Tax ID family

Rehabone Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Rehabone Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Salinas, CA
  • NPI 1013460070
  NPD tax ID
• Rehabone Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Gilroy, CA
  • NPI 1912450974
  NPD tax ID

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1639622699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "831-225-0209",
            "fax_number": "408-445-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "831-225-0209",
            "fax_number": "408-445-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABONE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "479-636-9702"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G74906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabOne Medical Group Inc Ste 4",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Regional Pharmacy Inc.
• Hilary Register, PT, DPT
• Shristi Regmi
• Stacey Regner, MT-BC
• Rehabfocus Home Health, Inc
• Rehabtronix LLC
• Sarah Rehbock
• Mahnoor Rehman
• Holly Anne Reich
• Jenae Marie Reich

• Physical Medicine & Rehabilitation Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.