Active NPI
Reliant Rehab Service and Supply
- Durable Medical Equipment & Medical Supplies
- Marshfield, WI
National Provider Identifier
1891706172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 004000004276301
- Legal business name
- RELIANT REHAB SERVICE AND SUPPLY
- Practice address
- 1517 N Oak Ave
Marshfield, WI 54449-1301 - Phone
- (715) 384-5425
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan D Burr, CPA
- Title
- Director of Operations
- Phone
- (715) 384-5425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 004000004276301 | WI | Primary |
Addresses
Primary practice location
1517 N Oak Ave
Marshfield, WI 54449-1301
Mailing address
1517 N Oak Ave
Marshfield, WI 54449-1301
Phone (715) 384-5425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41669300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1517 N Oak Ave
Marshfield, WI 54449
Phone (715) 384-5425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288569600000",
"number": "1891706172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491301",
"telephone_number": "715-384-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491301",
"telephone_number": "715-384-5425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT REHAB SERVICE AND SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2010-11-01",
"status": "A",
"authorized_official_last_name": "BURR",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "715-384-5425",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WI",
"license": "004000004276301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41669300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.