Physical Rehab LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

DO.000285 Issued in LA

Legal business name

PHYSICAL REHAB LLC

Practice address

3330 Masonic Dr
Alexandria, LA 71301-3841

Phone

(318) 448-6962

NPI assigned

Nov 14, 2013

Last updated

Nov 14, 2013By 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

Farheen Khan, D.O

Title

Owner

Phone

(504) 251-1108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1760812655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 RUE MARIA",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013841",
            "telephone_number": "318-448-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-251-1108",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "DO.000285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Darnell Philson, B.S.,MHS
• Emily Brooke Phinney
• Phoenix Family Life Center (First Choice Addiction Center)
• Dijon Phoenix
• Physical and Occupational Therapy of Alexandria, LLC
• Physical Therapy Works LLC
• Carole Renee Pickett, PHARMD
• Pierce Group Home
• Catherine Pierce, M.C.D.
• Nicki Nicole Pierite

• Rehabilitation Hospital in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Rehabilitation Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.