Active NPI
Chimed Rehab Phenix City
- Physical Medicine & Rehabilitation Physician
- Phenix City, AL
National Provider Identifier
1962082677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2241155 | Chimed Rehab Phenix City, PLLC | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Ritu Chandra, MD
- Changing Lives, Inc.
- Chattahoochee Valley Family
- Chattahoochee Valley Home Health, LLC (Centerwell Home Health)
- Chimed Rehab Ficpc, PLLC
- Christa D. Spann DMD, LLC
- Bryce Andrew Ciancio, ATC/L
- Corey Eugene Claiborne, DPT
- Theresa Carlisle Clark, REGISTERED NURSE
- Columbus Ambulatory Healthcare Services, Inc.
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.