American Medical Rehab, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

12536000002 Issued in FL

Legal business name

AMERICAN MEDICAL REHAB, INC

Practice address

4545 Saint Augustine Rd
2
Jacksonville, FL 32207-7229

Phone

(904) 731-0110

Fax

(904) 731-0121

NPI assigned

Aug 9, 2005

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

Mrs. Lesia Amanda Owensby

Title

Owner

Phone

(904) 731-0110

Specialties & licenses 1

Addresses

Other names 1

• Medical Rehab, Inc Doing business as

Tax ID family

American Medical Rehab Inc2 organizations share this tax ID, including this one

Part of

American Medical Rehab Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• American Medical Rehab, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1033326053
  NPD tax ID

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1861493355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545-2 ST. AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-731-0110",
            "fax_number": "904-731-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 SAINT AUGUSTINE RD",
            "address_2": "2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077229",
            "telephone_number": "904-731-0110",
            "fax_number": "904-731-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL REHAB, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "OWENSBY",
        "authorized_official_first_name": "LESIA",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-731-0110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "12536000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Rehab, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.