Effingham Rehab Services, LLC
Organization Active NPI Rehabilitation Clinic/Center · Kingsland, GA
NPI 1780264994 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1780264994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- EFFINGHAM REHAB SERVICES, LLC
- Practice address
- 1390 Boone Avenue Ext Ste A23
Kingsland, GA 31548-6515 - Phone
- (419) 221-6717
- Fax
- (419) 222-0507
- NPI assigned
- Apr 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Stephen Krzyminski
- Title
- Exec VP
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 6
Member of 1
Practitioners 183
-
Kyrsten Lee Dowling, PT, DPT
-
Benjamin Thomas Ivey III, PT, DPT
-
Barry Arem, P.T.
-
Eric C Bull, PT,DSC.,MPT,MMT,OCS
-
Heather Michelle Daman, PT, DPT
-
Kara B Jackson, PT, DPT
-
Lisa Kalitka, PT, DPT
-
Kishan Patel, DPT
-
Becky W West, PT
-
Frank Allen Glenn, PHYSICAL THERAPIST
-
Steven D Kiak, DPT
-
Lauren Lee, DPT
-
Julian Colina, DPT, PT
-
Megan Ferguson, DPT
-
Brooks P Landy, DPT
-
Masood Ahmed, M. D.
-
Paul Matthew Balthrop, M.D.
-
Firas Bannout, MD
-
Joseph Daniel Boaen IV, M.D.
-
Paul S Bradley, MD
-
Jackie Kevin Brooks, M.D.
-
Richard Burrell, PA-C, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180723000980 | GA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5597752063 |
Receives reassigned benefits from 13 practitioners 4 other NPIs on this enrollment Practice locations: Brunswick, GA; Jesup, GA; Kingsland, GA; Pooler, GA; Savannah, GA |
| O20210830003529 | GA | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 5597752063 |
1 other NPI on this enrollment Practice locations: Brunswick, GA; Kingsland, GA |
National Provider Directory
- Tax ID family
- Effingham Rehab Servcies
Locations
475 S Main St
Hinesville, GA 31313
Phone (912) 353-9378
172 Tower Rd
Jesup, GA 31545
Phone (912) 427-4290
22 W Oglethorpe Ave
Savannah, GA 31401
Phone (912) 443-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
1390 Boone Avenue Ext Ste A23
Kingsland, GA 31548-6515
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Kingsland
Other providers in Kingsland, GA
- Ronna Anne Driggers
- Warren Driggers
- Sarah M Duman
- Dunn Behavioral Health Counseling of Georgia Corp
- Patricia Ann Dunn
- David Sassouni Eghigian
- Eskandari Dental, PC
- Angela May Evagash
- Sara Fanelli
- Allison Fender
All providers in Kingsland, GA · Rehabilitation Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.