Active NPI
Abm Rehab LLC
- Physical Medicine & Rehabilitation Physician
- Huntsville, AL
National Provider Identifier
1689227191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Office | Direct |
National Provider Directory
National Provider DirectoryNPI 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.