Rehab Labs

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHAB LABS

Practice address

72855 Fred Waring Dr Ste C20
Palm Desert, CA 92260-9372

Phone

(760) 404-0360

Fax

(949) 269-0672

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Dinora Nava Oleson

Title

Vice President

Phone

(909) 553-9424

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Phong Ky Nguyen, M.D

  • General Practice Physician
  • Redlands, CA
  • NPI 1770699506
  Medicare reassignment NPD
• Heather Anne Fraser, LCSW

  • Clinical Social Worker
  • Redlands, CA
  • NPI 1649576752
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1841920253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38292 WILD POPPY LN",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999449",
            "telephone_number": "909-553-9424",
            "fax_number": "949-269-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72855 FRED WARING DR STE C20",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609372",
            "telephone_number": "760-404-0360",
            "fax_number": "949-269-0672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Olive Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923735255",
            "country_code": "US",
            "telephone_number": "909-553-9424",
            "fax_number": "949-269-0672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHAB LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "NAVA OLESON",
        "authorized_official_first_name": "DINORA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-553-9424"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Bow Medical Associates Inc
• Reddy Physical Therapy PC
• Vipul Reddy
• Robert Douglas Reed, DDS
• Scarlett C Regalado Sellers
• Rehabnet Outpatient Center
• Stephanie C Rehe, MPT, DPT, ATC
• Tina Aujuli Reid
• Roland D Reinhart, M.D.
• Wendy M Reitz, ARNP-C

• Rehabilitation Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.