Organization Active NPI

Rehab Medical LLC

  • Customized Equipment (DME)
  • Fort Wayne, IN
National Provider Identifier
1891590592
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
REHAB MEDICAL LLC
Practice address
2802 Congressional Pkwy Ste F
Fort Wayne, IN 46808-4421
Phone
(317) 559-2683
NPI assigned
Feb 17, 2025
Organization subpart
Yes
Parent organization
REHAB MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Kevin Gearheart
Title
President
Phone
(317) 813-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2802 Congressional Pkwy Ste F
Fort Wayne, IN 46808-4421

Mailing address

3750 Priority Way South Dr
Indianapolis, IN 46240-3831
Phone (317) 436-6178

National Provider Directory

National Provider Directory
Tax ID family
Rehab Medical LLC29 organizations share this tax ID, including this one
Part of
Rehab Medical LLC

Other organizations with this tax ID 28

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

View all 28

Locations

2802 Congressional Pkwy
Ste F
Fort Wayne, IN 46808
Phone (317) 559-2683

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1891590592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 PRIORITY WAY SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403831",
            "telephone_number": "317-436-6178",
            "fax_number": "855-671-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 CONGRESSIONAL PKWY STE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468084421",
            "telephone_number": "317-559-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB MEDICAL LLC",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "GEARHEART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-813-4210"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.