NPIMap

Organization Active NPI

Evansville Rehabilitation, P.C.

Doing business as Hamilton Clinic

  • Neurology Chiropractor
  • Evansville, IN
National Provider Identifier
1851454771
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
EVANSVILLE REHABILITATION, P.C.
Doing business as
Hamilton Clinic
Practice address
958 S Kenmore Dr
Evansville, IN 47714-7513
Phone
(812) 477-5003
Fax
(812) 477-3639
NPI assigned
Dec 19, 2006
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Jay D Rohleder, D.C.NPI 1821066846
Title
Managing Partner
Phone
(812) 477-5003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X Primary

Addresses

Primary practice location

958 S Kenmore Dr
Evansville, IN 47714-7513

Mailing address

958 S Kenmore Dr
Evansville, IN 47714-7513
Phone (812) 477-5003

Other names 1

  • Hamilton Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506001500 IN Part B Supplier - Clinic/Group Practice 0143219030 Receives reassigned benefits from 3 practitioners
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

120 N Fulton Ave
Ste B
Evansville, IN 47710
Phone (812) 303-0369

958 S Kenmore Dr
Evansville, IN 47714
Phone (812) 401-2140

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1851454771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 S KENMORE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-477-5003",
            "fax_number": "812-477-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 S KENMORE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-477-5003",
            "fax_number": "812-477-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "ROHLEDER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "812-477-5003",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.