Rehab Associates, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHAB ASSOCIATES, LLC

Practice address

805 Saint Vincents Dr Ste G-100
Birmingham, AL 35205-1637

Phone

(205) 939-1557

Fax

(205) 939-1536

NPI assigned

May 14, 2019

Organization subpart

Yes

Parent organization

SELECT MEDICALAs reported in NPPES

Name

Michael Tarvin

Title

Vice President

Phone

(717) 972-1100

Part of

Select Medical Corporation

• Champion Sports Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2019.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1780240952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR STE G-100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051637",
            "telephone_number": "205-939-1557",
            "fax_number": "205-939-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rehab Associates, LLC
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• All providers in Birmingham, AL
• Rehabilitation Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.