Resilient Rehab LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RESILIENT REHAB LLC

Practice address

216 N Green St
Clarks, NE 68628-2759

Phone

(402) 469-9107

NPI assigned

Apr 23, 2024

Last updated

Oct 7, 2024By 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

Erin Meyer

Title

Busiess Manager

Phone

(308) 380-9393

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 7

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.

• Rachel Buettner

  • Speech-Language Pathologist
  • Columbus, NE
  • NPI 1306679386
  Medicare reassignment Care Compare group NPD
• Michaela M Cantral, DPT

  • Orthopedic Physical Therapist
  • Omaha, NE
  • NPI 1598146524
  Medicare reassignment Care Compare group NPD
• Emilee Renee Kuhn

  • Physical Therapist
  • Central City, NE
  • NPI 1942764238
  Medicare reassignment Care Compare group NPD
• Amy Nash

  • Speech-Language Pathologist
  • Friend, NE
  • NPI 1437347077
  Medicare reassignment Care Compare group NPD
• Katelynn Rerucha, OT

  • Occupational Therapist
  • Grand Island, NE
  • NPI 1831741537
  Medicare reassignment Care Compare group NPD
• Jenarae Vieth, OTR/L

  • Occupational Therapist
  • Grand Island, NE
  • NPI 1083076806
  Medicare reassignment NPD
• Shelly Urkoski

  • Physical Therapy Assistant
  • Clarks, NE
  • NPI 1831588672

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1861247645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "CLARKS",
            "state": "NE",
            "postal_code": "686280236",
            "telephone_number": "402-469-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N GREEN ST",
            "city": "CLARKS",
            "state": "NE",
            "postal_code": "686282759",
            "telephone_number": "402-469-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 28th St",
            "address_purpose": "LOCATION",
            "city": "Central City",
            "state": "NE",
            "postal_code": "688269743",
            "country_code": "US",
            "telephone_number": "402-469-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESILIENT REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "BUSIESS MANAGER",
        "authorized_official_telephone_number": "308-380-9393"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029027700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029027701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Dietz
• Karen K McHarry, M.S., CCC-SLP
• True North Medical LLC
• Shelly Urkoski

• Clinic/Center in Clarks, NE
• Providers in Clarks, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.