Organization Active NPI

Clinical Rehab Specialists LLC

  • Physical Therapy Clinic/Center
  • Chelmsford, MA
National Provider Identifier
1902144017
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CLINICAL REHAB SPECIALISTS LLC
Practice address
9 Acton Rd Ste 16
Chelmsford, MA 01824-3411
Phone
(978) 726-8310
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dr. Gerard Dybel, PTNPI 1982600573
Title
President
Phone
(978) 985-2689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9 Acton Rd Ste 16
Chelmsford, MA 01824-3411

Mailing address

9 Acton Rd Ste 16
Chelmsford, MA 01824-3411
Phone (978) 726-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150202001357 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830414440 Receives reassigned benefits from 2 practitioners
Practice locations: North Chelmsford, MA

National Provider Directory

National Provider Directory

Locations

5 Courthouse Ln
Chelmsford, MA 01824

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1902144017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ACTON RD STE 16",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243411",
            "telephone_number": "978-726-8310",
            "fax_number": "978-418-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ACTON RD STE 16",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243411",
            "telephone_number": "978-726-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL REHAB SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "DYBEL",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-985-2689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.

Verify at the official NPI Registry.