NPIMap

Organization Active NPI

Rehab Medical, LLC

  • Customized Equipment (DME)
  • Valdosta, GA
National Provider Identifier
1730887076
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
2310 US Highway 84 W
Valdosta, GA 31601-5189
Phone
(229) 262-8236
NPI assigned
Feb 16, 2023
Last updated
Jan 25, 2024By the provider in NPPES
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

2310 US Highway 84 W
Valdosta, GA 31601-5189

Mailing address

3750 Priority Way South Dr
Indianapolis, IN 46240-3831

National Provider Directory

National Provider Directory
Tax ID family
Rehab Medical Inc30 organizations share this tax ID, including this one
Part of
Rehab Medical Inc

Other organizations with this tax ID 29

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

View all 29

Locations

2310 US Highway 84 W
Valdosta, GA 31601
Phone (229) 262-8236

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1730887076",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 US HIGHWAY 84 W",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015189",
            "telephone_number": "229-262-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB MEDICAL, LLC",
        "enumeration_date": "2023-02-16",
        "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 Valdosta, 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.