NPIMap

Organization Active NPI

Rehab Associates, LLC

Doing business as Champion Sports Medicine & Rehab Cntr - University of AL

  • Physical Therapy Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1942219472
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB ASSOCIATES, LLC
Doing business as
Champion Sports Medicine & Rehab Cntr - University of AL
Practice address
401 Fifth Avenue, East
University of Al
Tuscaloosa, AL 35487-0000
Phone
(205) 348-3904
Fax
(205) 348-4980
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mrs. Cynthia L. Goldberg
Title
Chief Compliance Officer
Phone
(610) 644-7824

Specialties & licenses 1

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

Addresses

Primary practice location

401 Fifth Avenue, East
University of Al
Tuscaloosa, AL 35487-0000

Mailing address

335 Roselane St NW
Suite 201
Marietta, GA 30060-7902
Phone (470) 259-5226

Other names 1

  • Champion Sports Medicine & Rehab Cntr - University of AL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001580 AL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0446168694 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Millbrook, AL; Montgomery, AL; Prattville, AL; Troy, AL; Wetumpka, AL

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

335 Roselane St NW
Ste 201
Marietta, GA 30060
Phone (470) 259-5226

Practitioners & affiliated clinicians

Practitioners 7

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1942219472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "470-259-5226",
            "fax_number": "267-321-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FIFTH AVENUE, EAST",
            "address_2": "UNIVERSITY OF AL",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354870000",
            "telephone_number": "205-348-3904",
            "fax_number": "205-348-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "610-644-7824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Sports Medicine & Rehab Cntr - University of AL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.