Organization Active NPI

Southeast Rehabilitation Associates, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Fall River, MA
National Provider Identifier
1760564413
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SOUTHEAST REHABILITATION ASSOCIATES, P.C.
Practice address
231 Weaver St
Unit F
Fall River, MA 02720-1338
Phone
(508) 679-1400
Fax
(508) 679-1449
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Mrs. Reggie Hopkins
Title
Office Manager
Phone
(508) 679-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

231 Weaver St
Unit F
Fall River, MA 02720-1338

Mailing address

231 Weaver St
Unit F
Fall River, MA 02720-1338
Phone (508) 679-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000304 MA Part B Supplier - Clinic/Group Practice 2163419375 Receives reassigned benefits from 3 practitioners
Practice locations: Dartmouth, MA; Fall River, MA

National Provider Directory

National Provider Directory

Locations

595 State Rd
Ste 2M
Dartmouth, MA 02747
Phone (774) 202-1078

231 Weaver St
Fall River, MA 02720
Phone (508) 324-1426

480 Hawthorn St
Unit 4
North Dartmouth, MA 02747

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1760564413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WEAVER ST",
            "address_2": "UNIT F",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201338",
            "telephone_number": "508-679-1400",
            "fax_number": "508-679-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WEAVER ST",
            "address_2": "UNIT F",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201338",
            "telephone_number": "508-679-1400",
            "fax_number": "508-679-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST REHABILITATION ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "REGGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-679-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.