Organization Active NPI

Chimed Rehab Phenix City

  • Physical Medicine & Rehabilitation Physician
  • Phenix City, AL
National Provider Identifier
1962082677
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CHIMED REHAB PHENIX CITY
Practice address
3700 S Railroad St Ste D
Phenix City, AL 36867-2994
Phone
(334) 298-7700
Fax
(866) 537-1711
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Dr. Stephen B Cooper, DC, FACMUAP
Title
Manager
Phone
(334) 298-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3700 S Railroad St Ste D
Phenix City, AL 36867-2994

Mailing address

PO Box 1601
Phenix City, AL 36868-1601
Phone (334) 298-7700

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2241155Chimed Rehab Phenix City, PLLC3700 South Railroad St, Suite B, Phenix City, AL 36867Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

3700 S Railroad St
Ste D
Phenix City, AL 36867
Phone (334) 298-7700

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1962082677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1601",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681601",
            "telephone_number": "334-298-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST STE D",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672994",
            "telephone_number": "334-298-7700",
            "fax_number": "866-537-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIMED REHAB PHENIX CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-298-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FACMUAP"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.