Effingham Rehab Services, LLC
Organization Active NPI Rehabilitation Clinic/Center · Jesup, GA
NPI 1831782887 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1831782887
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- EFFINGHAM REHAB SERVICES, LLC
- Practice address
- 172 Tower Rd
Jesup, GA 31545-0723 - Phone
- (912) 427-4290
- Fax
- (419) 222-0507
- NPI assigned
- Feb 19, 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 171
-
Benjamin Thomas Ivey III, PT, DPT
-
Julian Colina, DPT, PT
-
Megan Ferguson, 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
-
Denny Alan Carter, M.D.
-
Jonathan Michael Christy, M.D.
-
Frank David Clements, PA-C
-
Michael Robert Cohen, D.O.
-
Jay Brandon Cook, M.D.
-
William Matthew Crook, PA-C
-
Eduard Docu, MD
-
Kyrsten Lee Dowling, PT, DPT
-
Brooke Bradley Halpern, M.D.
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 This NPI is an additional NPI on the enrollment Practice locations: Brunswick, GA; Jesup, GA; Kingsland, GA; Pooler, GA; Savannah, GA |
| O20220127000928 | GA | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 5597752063 | Practice locations: Jesup, GA |
National Provider Directory
- Tax ID family
- Effingham Rehab Servcies
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
172 Tower Rd
Jesup, GA 31545-0723
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Jesup
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All providers in Jesup, 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.