Rehab Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REHAB SUPPLY LLC

Practice address

341 Wyoming Ave Ste 1
West Pittston, PA 18643-2839

Phone

(570) 602-1069

Fax

(570) 602-1069

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Bulman

Title

Owner/Managing Employee

Phone

(607) 584-5560

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1881929628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHARLES ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052272",
            "telephone_number": "607-584-5560",
            "fax_number": "607-584-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WYOMING AVE STE 1",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432839",
            "telephone_number": "570-602-1069",
            "fax_number": "570-602-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BULMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "607-584-5560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02708818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215958202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas J. Telincho Jr. LCSW
• Corey Scott Owen, DC
• Amanda Marie Panuski, MS, CCC-SLP
• Joanna K Pechal, LSW
• Joseph Radzwilka, D.O.
• Rite Aid
• Rite Aid of Pennsylvania LLC
• Tara Lynn Ritts, RPH
• Robert Matthew Ross, MS, NCC, LPC
• Shannon M Samuels, LPC

• Durable Medical Equipment & Medical Supplies in West Pittston, PA
• Providers in West Pittston, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.