NPIMap

Organization Active NPI

Rehabilitation Associates, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fairfield, CT
National Provider Identifier
1659347300
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
REHABILITATION ASSOCIATES, INC.
Practice address
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone
(203) 384-8681
Fax
(203) 384-0722
NPI assigned
Feb 23, 2006
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Mrs. Carol Landsman, MACCC-SLPNPI 1053344150
Title
Director
Phone
(203) 384-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X CT Primary

Addresses

Primary practice location

1931 Black Rock Tpke
Fairfield, CT 06825-3506

Mailing address

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

Other identifiers 16

IdentifierTypeStateIssuer
40102OtherCTCIGNA ORTHONET MILFORD
001570OtherCTHEALTHNET
70618OtherCTUS HEALTHCARE
0089222OtherCTCIGNA
70618OtherCTAETNA
40105OtherCTCIGNA ORTHONET WESTPORT
609649OtherCTCONNECTICARE
800009109CT01OtherCTBCBS PT/SP
800009109CT02OtherCTBCBS OT
ANC1205OtherCTOXFORD
004060836MedicaidCT
40103OtherCTCIGNA ORTHONET SHELTON
40104OtherCTCIGNA ORTHONET FAIRFIELD
C02780OtherCTFIRST COAST
196387OtherCTUNITED HEALTHCARE
40101OtherCTCIGNA ORTHONET STRATFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040302000411 CT Part B Supplier - Clinic/Group Practice 8022905322 Receives reassigned benefits from 3 practitioners
Practice locations: Fairfield, CT; Westport, CT; Stratford, CT; Milford, CT; Shelton, CT
O20040401000494 CT Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8022905322 Practice locations: Milford, CT; Stratford, CT; Westport, CT
O20050919000242 CT Part A Provider - Comprehensive Outpatient Rehabilitation Facility 8022905322 Practice locations: Fairfield, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659347300. Details of each certification follow.

  • CCN 074505 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 074505

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHABILITATION ASSOCIATES
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Feb 27, 1984
Last certification
Aug 24, 2017
Ownership / control type
Proprietary
Facility address
1931 Black Rock Turnpike
Fairfield, CT 06825

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Associates2 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

1931 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 332-4363

2900 Main St
Ste 1D
Stratford, CT 06614
Phone (203) 378-0092

Practitioners & affiliated clinicians

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1659347300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253506",
            "telephone_number": "203-384-8681",
            "fax_number": "203-384-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253506",
            "telephone_number": "203-384-8681",
            "fax_number": "203-384-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "LANDSMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-384-8681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MACCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET MILFORD",
            "identifier": "40102",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "001570",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "70618",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0089222",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "70618",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET WESTPORT",
            "identifier": "40105",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "609649",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PT/SP",
            "identifier": "800009109CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OT",
            "identifier": "800009109CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1205",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004060836",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET SHELTON",
            "identifier": "40103",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET FAIRFIELD",
            "identifier": "40104",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COAST",
            "identifier": "C02780",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "196387",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET STRATFORD",
            "identifier": "40101",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.