Rebuilder Medical Technologies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0407379001 Issued in WV

Legal business name

REBUILDER MEDICAL TECHNOLOGIES, INC.

Practice address

636 Treeline Dr
Charles Town, WV 25414-4700

Phone

(304) 725-2202

Fax

(304) 725-4915

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By 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

Ms. Jennifer L Loudin

Title

Administrative Operations Manager

Phone

(304) 725-2202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1831348184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 TREELINE DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144700",
            "telephone_number": "304-725-2202",
            "fax_number": "304-725-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 TREELINE DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144700",
            "telephone_number": "304-725-2202",
            "fax_number": "304-725-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDER MEDICAL TECHNOLOGIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "LOUDIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "304-725-2202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "0407379001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Daniell Pritt
• Professional Sportscare & Rehab of West Virginia, LLC (Pivot Physical Therapy)
• Heather Rainey
• Jacqueline Raugh, LPC
• Rebuilder Medical Technologies of Nevada, Inc.
• Rebuilder Medical, Inc.
• Jordan Redman
• Edward Renehan, ATC
• Anne Mary Rhoades, SLP
• Makenzie Faith Rhodes, PTA

• Durable Medical Equipment & Medical Supplies in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.