Medrehab, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MEDREHAB, LLC

Practice address

2619 Jones Rd Ste C
Austin, TX 78745-2682

Phone

(512) 792-9501

Fax

(512) 792-9534

NPI assigned

Jan 29, 2017

Organization subpart

No

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

Authorized official

Name

Gina Kay Stango, OTR/L, OTD, MOT, ATPNPI 1477864759

Title

Owner/Ceo

Phone

(512) 792-9501

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Kay Stango, OTR, OTD, MOT, ATP

  • Other Technician
  • Austin, TX
  • NPI 1477864759
  NPD Authorized official

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1831636869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 JONES RD STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452682",
            "telephone_number": "512-792-9501",
            "fax_number": "512-792-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 JONES RD STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452682",
            "telephone_number": "512-792-9501",
            "fax_number": "512-792-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDREHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-29",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "STANGO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "512-792-9501",
        "authorized_official_credential": "OTR/L, OTD, MOT, ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Austin, TX
• Providers in Austin, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.