Re-Hab-It Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RE-HAB-IT INC

Practice address

715A Morrow Ave
Pineville, NC 28134-6529

Phone

(980) 505-0902

Fax

(704) 919-5055

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donnetta Graham

Title

Ower

Phone

(980) 505-3588

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1639791536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 PINEVILLE MATTHEWS RD STE 103-121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263774",
            "telephone_number": "980-505-0902",
            "fax_number": "704-919-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715A MORROW AVE",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346529",
            "telephone_number": "980-505-0902",
            "fax_number": "704-919-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-HAB-IT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DONNETTA",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "980-505-3588"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rehabitinc@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rehabitinc@gmail.com",
            "address_1": "715A Morrow Ave",
            "city": "Pineville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281346529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.