Organization Active NPI

Reliant Rehab Service and Supply

  • Durable Medical Equipment & Medical Supplies
  • Marshfield, WI
National Provider Identifier
1891706172
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
004000004276301 Issued in WI
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

Updated by the provider on Nov 1, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41669300MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.