Habib Rehab LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

HABIB REHAB LLC

Practice address

1255 Hilyard St
Eugene, OR 97401-3718

Phone

(734) 262-4663

Fax

(458) 209-5028

NPI assigned

Nov 1, 2018

Organization subpart

No

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

Authorized official

Name

Habib M Fanny, MD

Title

Sole Owner/Auth Ind

Phone

(734) 262-4663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1649747262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 3012",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381483012",
            "telephone_number": "734-262-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HILYARD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013718",
            "telephone_number": "734-262-4663",
            "fax_number": "458-209-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "734-262-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HABIB REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "FANNY",
        "authorized_official_first_name": "HABIB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OWNER/AUTH IND",
        "authorized_official_telephone_number": "734-262-4663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syrina Haake
• Julian Haas, M.D.
• M Joshua Haber, M.D.
• Marilyn Sara Haber, MA, QMHP
• Vicky Habersaat
• Benjamin Norbert Habito, LCSW
• John J Habrat, P.T.
• Emerson Hachimoto, B.A.
• Robert T Hack, CRNA
• Marnie L Hackbarth, LMT

• Physical Medicine & Rehabilitation Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.