NPIMap

Organization Active NPI

Rehab Medical, LLC

  • Customized Equipment (DME)
  • Augusta, GA
National Provider Identifier
1720780968
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
REHAB MEDICAL, LLC
Practice address
2917 Riverwest Dr Ste 104-105
Augusta, GA 30907-2028
Phone
(877) 813-0205
NPI assigned
Mar 21, 2023
Organization subpart
Yes
Parent organization
REHAB MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Kevin Gearheart
Title
President
Phone
(317) 813-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2917 Riverwest Dr Ste 104-105
Augusta, GA 30907-2028

Mailing address

3750 Priority Way South Dr
Indianapolis, IN 46240-3831
Phone (317) 436-6178

National Provider Directory

National Provider Directory
Tax ID family
Rehab Medical LLC29 organizations share this tax ID, including this one
Part of
Rehab Medical LLC

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

2917 Riverwest Dr
Ste 104105
Augusta, GA 30907
Phone (877) 813-0205

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1720780968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 PRIORITY WAY SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403831",
            "telephone_number": "317-436-6178",
            "fax_number": "855-671-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 RIVERWEST DR STE 104-105",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072028",
            "telephone_number": "877-813-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB MEDICAL, LLC",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "GEARHEART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-813-4210"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.