Max Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03685 Issued in LA

Legal business name

MAX REHAB, LLC

Practice address

9609 Plank Rd
Suite P
Clinton, LA 70722-3702

Phone

(225) 683-1111

Fax

(225) 683-1177

NPI assigned

Jun 21, 2006

Last updated

Aug 22, 2020By 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

Shannon C. Gavin, P. T.NPI 1831130681

Title

Physical Therapist

Phone

(225) 683-1111

Specialties & licenses 1

Addresses

Tax ID family

Max Rehab2 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.

• Max Rehab

  • Durable Medical Equipment & Medical Supplies
  • Plaquemine, LA
  • NPI 1083721203
  NPD tax ID

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon C Gavin, P.T.

  • Physical Therapist
  • Clinton, LA
  • NPI 1831130681
  NPD (past) Authorized official
• John Patrick Brumfield, P.T.

  • Physical Therapist
  • Clinton, LA
  • NPI 1710928635
  NPD (past)
• Brandon Joseph Bueche, O.T.

  • Occupational Therapist
  • Plaquemine, LA
  • NPI 1942244207
  NPD (past)
• Bradley Chapman, P.T.

  • Physical Therapist
  • Prairieville, LA
  • NPI 1043399892
  NPD (past)
• Kelly Boenig D'Aquilla, LOTR

  • Occupational Therapist
  • Saint Francisville, LA
  • NPI 1598966954
  NPD (past)
• Stephen Matthew Levins, PT, MSC, OCS

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1376654723
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841236700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1291",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707751291",
            "telephone_number": "225-683-1111",
            "fax_number": "225-683-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 PLANK RD",
            "address_2": "SUITE P",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223702",
            "telephone_number": "225-683-1111",
            "fax_number": "225-683-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "225-683-1111",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tija Lavine Major, FNP
• Rebecca Lynn Mansur, FNP-C
• Darius Matthews
• Latrinda A Matthews
• Tony Edward Matthews Jr.
• Jenny Lee McAdams, R.N.
• Sarah Burns McCarley, LCSW
• Cassandra McPhate, RN
• Walker P McVea, DDS
• Mid-South Medical Supply LLC

• Physical Therapist in Clinton, LA
• Providers in Clinton, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.