NPIMap

Organization Active NPI

Rehab Medical LLC

  • Customized Equipment (DME)
  • Orlando, FL
National Provider Identifier
1922675651
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
REHAB MEDICAL LLC
Practice address
170 Sunport LN Ste 800
Orlando, FL 32809-8111
Phone
(317) 436-6178
Fax
(855) 671-9194
NPI assigned
Jun 10, 2021
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
REHAB MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 NU Primary

Addresses

Primary practice location

170 Sunport LN Ste 800
Orlando, FL 32809-8111

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624000184 FL DME Supplier - Medical Supply Company 7618179045 Practice locations: Orlando, FL

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Rehab Medical Inc30 organizations share this tax ID, including this one
Part of
Rehab Medical Inc

Other organizations with this tax ID 29

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

View all 29

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2866 Dauphin St
Ste M
Mobile, AL 36606
Phone (251) 725-6005

170 Sunport Ln
Ste 800
Orlando, FL 32809
Phone (317) 436-6178

3359 Copter Rd
Ste 8
Pensacola, FL 32514
Phone (850) 791-6399

4811 N Palafox St
Pensacola, FL 32505
Phone (850) 791-6399

6101 Johns Rd
Ste 8
Tampa, FL 33634
Phone (317) 436-6178

131 Bethea Rd
Ste 606
Fayetteville, GA 30214
Phone (678) 834-5874

8564 Highway 85
Jonesboro, GA 30238
Phone (678) 834-5874

9402 Uptown Dr
Ste 800
Indianapolis, IN 46256
Phone (317) 841-0096

14141 Airline Hwy
Ste 1H
Baton Rouge, LA 70817
Phone (225) 427-9032

7720 N Robinson Ave
Ste B56
Oklahoma City, OK 73116
Phone (405) 561-3457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1922675651",
    "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": "170 SUNPORT LN STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328098111",
            "telephone_number": "317-436-6178",
            "fax_number": "855-671-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB MEDICAL LLC",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.