Organization Active NPI

Rehab Providers Inc

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1861630378
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21735 Issued in FL
Legal business name
REHAB PROVIDERS INC
Practice address
1527 Silver St
Jacksonville, FL 32206-4443
Phone
(904) 891-0782
Fax
(904) 357-0061
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mr. Christopher Wayne Fearon, PTNPI 1427294016
Title
President
Phone
(904) 891-0782

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
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT21735 FL Primary

Addresses

Primary practice location

1527 Silver St
Jacksonville, FL 32206-4443

Mailing address

1527 Silver St
Jacksonville, FL 32206-4443
Phone (904) 891-0782

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1861630378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 SILVER ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064443",
            "telephone_number": "904-891-0782",
            "fax_number": "904-357-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 SILVER ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064443",
            "telephone_number": "904-891-0782",
            "fax_number": "904-357-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "FEARON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-891-0782",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.