Organization Active NPI

Abm Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Huntsville, AL
National Provider Identifier
1689227191
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ABM REHAB LLC
Practice address
1104 Gleneagles Dr SW Ste B
Huntsville, AL 35801-6511
Phone
(256) 337-9892
Fax
(256) 242-6040
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Vandana M Maladkar
Title
MD
Phone
(256) 337-9892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1104 Gleneagles Dr SW Ste B
Huntsville, AL 35801-6511

Mailing address

1503 Big Cove Rd SE
Huntsville, AL 35801-2115

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Office Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1689227191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BIG COVE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 GLENEAGLES DR SW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016511",
            "telephone_number": "256-337-9892",
            "fax_number": "256-242-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABM REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MALADKAR",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-337-9892"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1503 Big Cove Rd SE",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358012115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.