NPIMap

Organization Active NPI

Servant Rehabilitation, Inc.

  • Physical Therapist
  • Hendersonville, NC
National Provider Identifier
1851911713
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SERVANT REHABILITATION, INC.
Practice address
3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone
(828) 393-5168
Fax
(865) 951-7273
NPI assigned
Apr 21, 2020
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Damien Luce, PTNPI 1174718902
Title
President
Phone
(828) 713-0560

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

3243 Heritage Cir
Hendersonville, NC 28791-3553

Mailing address

3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone (828) 393-5168

Other practice location 1

1962 Eagle Dr
Woodstock, GA 30189-2338
Phone (724) 816-1800

Other practice location 2

4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309
Phone (724) 816-1800

Other practice location 3

209 Wild Wing Blvd
Conway, SC 29526-9701
Phone (828) 393-5168

Other practice location 4

8501 S Northshore Dr
Knoxville, TN 37922-8591
Phone (865) 406-7129

Other practice location 5

68 Breezy Valley Connector
Hiram, GA 30141-3054
Phone (724) 816-1800

Other practice location 6

8024 Gleason Dr
Knoxville, TN 37919-5586
Phone (865) 406-7129

Other practice location 7

1932 Falling Waters Rd
Knoxville, TN 37922-6764
Phone (865) 406-7129

Other practice location 8

200 Bus Terminal Rd
Oak Ridge, TN 37830-6928
Phone (865) 406-7129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, NC, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20200706001079 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395168629 Receives reassigned benefits from 6 practitioners
Practice locations: Hiram, GA; Kennesaw, GA; Woodstock, GA
O20200827003833 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395168629 Receives reassigned benefits from 8 practitioners
Practice locations: Knoxville, TN; Oak Ridge, TN
O20210302002810 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395168629 Receives reassigned benefits from 5 practitioners
Practice locations: Hendersonville, NC
O20250218001384 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395168629 Receives reassigned benefits from 1 practitioner
Practice locations: Conway, SC

National Provider Directory

National Provider Directory

Locations

68 Breezy Valley Connector
Hiram, GA 30141
Phone (678) 973-1906

1962 Eagle Dr
Woodstock, GA 30189
Phone (724) 816-1800

200 Bus Terminal Rd
Oak Ridge, TN 37830
Phone (828) 713-0560

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1851911713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913553",
            "telephone_number": "828-393-5168",
            "fax_number": "865-951-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913553",
            "telephone_number": "828-393-5168",
            "fax_number": "865-951-7273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1962 Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301892338",
            "country_code": "US",
            "telephone_number": "724-816-1800",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4381 Bells Ferry Rd NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301441309",
            "country_code": "US",
            "telephone_number": "724-816-1800",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Wild Wing Blvd",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269701",
            "country_code": "US",
            "telephone_number": "828-393-5168",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 S Northshore Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379228591",
            "country_code": "US",
            "telephone_number": "865-406-7129",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Breezy Valley Connector",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301413054",
            "country_code": "US",
            "telephone_number": "724-816-1800",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8024 Gleason Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195586",
            "country_code": "US",
            "telephone_number": "865-406-7129",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 Falling Waters Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379226764",
            "country_code": "US",
            "telephone_number": "865-406-7129",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bus Terminal Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306928",
            "country_code": "US",
            "telephone_number": "865-406-7129",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERVANT REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-713-0560",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.