NPIMap

Organization Active NPI

Rainbow Rehab LLC

  • Occupational Therapist
  • Stockbridge, GA
National Provider Identifier
1821192097
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
RAINBOW REHAB LLC
Practice address
300 Eagles Pointe Pkwy
Stockbridge, GA 30281-6384
Phone
(678) 432-4755
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Joan Ebersole, OTNPI 1710027073
Title
President
Phone
(678) 432-4755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

300 Eagles Pointe Pkwy
Stockbridge, GA 30281-6384

Mailing address

261 Montrose Dr
McDonough, GA 30253-4243
Phone (678) 432-4755

Other names 1

  • RAINBOW REHAB LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

300 Eagles Pointe Pkwy
Stockbridge, GA 30281

Practitioners & affiliated clinicians

Practitioners 2

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1821192097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MONTROSE DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534243",
            "telephone_number": "678-432-4755",
            "fax_number": "678-432-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAGLES POINTE PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816384",
            "telephone_number": "678-432-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EBERSOLE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-432-4755",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW REHAB LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.