United Rehab, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

UNITED REHAB, INC.

Practice address

74 Ouida St
Box 2498
Blue Ridge, GA 30513-4629

Phone

(706) 258-2819

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Neil L Pruitt Jr.

Title

Chairman and Ceo

Phone

(770) 279-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pruitthealth Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Norcross, GA
  • NPI 1013152933

  O20060501000166

  Same enrollment
• Pruittplace - Sandy Springs, LLC

  • Assisted Living Facility
  • Atlanta, GA
  • NPI 1588376164

  O20060501000166

  Same enrollment

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1730136938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932219",
            "telephone_number": "770-279-6200",
            "fax_number": "770-931-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 OUIDA ST",
            "address_2": "BOX 2498",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134629",
            "telephone_number": "706-258-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Eugene Tidman, MD
• Megan Alyssa Towe, FNP-C
• Tami Ayala Tran, APRN
• Frank Stanson Trigg, M.D.
• Trilogy Integrated Health Care
• Vicki L Van Deilen, M ED, LPC
• Rachel Lauren Van Horn, FNP-BC
• Linda Fontaine Vaughn
• Janet Vollrath, RPT
• W. Max Couch, Jr., DDS, MDS, LLC

• Rehabilitation Clinic/Center in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.