Active NPI
Mobility Rehab LLC
- Rehabilitation Clinic/Center
- Auburn, AL
National Provider Identifier
1871239228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- MOBILITY REHAB LLC
- Practice address
- 1550 E University Dr Apt 224
Auburn, AL 36830-6368 - Phone
- (601) 573-9974
- Fax
- (601) 487-8546
- NPI assigned
- May 9, 2022
- Last updated
- May 9, 2022
- Organization subpart
- Yes
- Parent organization
- MOBILITY REHAB LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Riche
- Title
- Office Manager
- Phone
- (601) 573-9974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
1550 E University Dr Apt 224
Auburn, AL 36830-6368
Mailing address
PO Box 1227
Ridgeland, MS 39158-1227
Phone (601) 573-9974
Other names 1
- Mobility Rehab- Monarch Estates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181107001426 | AL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3577821008 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Auburn, AL; Mobile, AL; Montgomery, AL |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Mobility Rehab LLC
- Part of
- Mobility Rehab LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Mobile, AL
- NPI 1295466670
-
- Rehabilitation Clinic/Center
- Montgomery, AL
- NPI 1487145918
-
- Rehabilitation Clinic/Center
- Ridgeland, MS
- NPI 1407376452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652054400000",
"number": "1871239228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1227",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391581227",
"telephone_number": "601-573-9974",
"fax_number": "601-487-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E UNIVERSITY DR APT 224",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306368",
"telephone_number": "601-573-9974",
"fax_number": "601-487-8546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY REHAB LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOBILITY REHAB LLC",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A",
"authorized_official_last_name": "RICHE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-573-9974"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobility Rehab- Monarch Estates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.