Kettering Rehabilitation, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35042424B Issued in OH

Legal business name

KETTERING REHABILITATION, INC

Practice address

2150 Leiter Rd
Miamisburg, OH 45342-3660

Phone

(937) 384-8797

Fax

(937) 384-8716

NPI assigned

Oct 4, 2005

Last updated

Aug 22, 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

Dr. Daniel Braunlin, MDNPI 1366493819

Title

President

Phone

(937) 384-8797

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Daniel E Braunlin, MD

  • Physical Medicine & Rehabilitation Physician
  • Miamisburg, OH
  • NPI 1366493819
  Authorized official Same address or phone
• John C Jump, MD

  • Physical Medicine & Rehabilitation Physician
  • Kettering, OH
  • NPI 1255381463
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700873809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750245",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750245",
            "telephone_number": "937-438-9500",
            "fax_number": "937-438-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423660",
            "telephone_number": "937-384-8797",
            "fax_number": "937-384-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAUNLIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-384-8797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35042424B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kettering Independent Medical Group Inc
• Kettering Independent Medical Group Inc
• Kettering Medical Center (Collaborative Pharmacy Services)
• Kettering Medical Center (Kettering Health Miamisburg)
• Kettering Medical Center (Kettering Health Pharmacy Miamisburg)
• Camyrn Key-Mahn, RBT
• Farzam Saleem Khokhar
• Jason Kibby
• Seth T Kidwell, MSN, FNP-BC
• Sandra L Kimball, CNP

• Physical Medicine & Rehabilitation Physician in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.