Achieve Rehab, LLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

17-00389 Issued in KS

Legal business name

ACHIEVE REHAB, LLC

Practice address

1410 Polk Street
Great Bend, KS 67530-3619

Phone

(620) 792-2111

NPI assigned

Oct 12, 2006

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M. Gonzales, O.T.

Title

Owner

Phone

(620) 792-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 3

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.

• Stanley Muiruri Mairungi, OTR

  • Occupational Therapist
  • Great Bend, KS
  • NPI 1962502930
  NPD (past)
• Troy Lance Moore, MPT, ATC

  • Physical Therapist
  • Ellinwood, KS
  • NPI 1932201357
  NPD (past)
• Kevyn L Soupiset, PT

  • Physical Therapist
  • Larned, KS
  • NPI 1932110863
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1942399167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 POLK STREET",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303619",
            "telephone_number": "620-792-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 POLK STREET",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303619",
            "telephone_number": "620-792-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-792-2111",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KS",
            "license": "17-00389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin R Abercrombie, LSCSW
• Allison Adams
• Advanced Imaging Partners LLC
• Advanced Imaging Partners LLC
• Advanced Therapy & Sports Med., LLC (Advanced Therapy & Sports Medicine)
• Advanced Therapy & Sports Medicine, Chartered

• Hand Occupational Therapist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Hand Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.