Kalos Rehabilitation, L.L.C.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

F4113 Issued in TX

Legal business name

KALOS REHABILITATION, L.L.C.

Doing business as

Premier Physical Rehabilitation

Practice address

4127 S Danville Dr
Abilene, TX 79605-7230

Phone

(325) 232-7005

Fax

(325) 232-7009

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. S. Jeffery Jackson, MD

Title

Medical Director

Phone

(325) 232-7005

Specialties & licenses 1

Addresses

Other names 1

• Premier Physical Rehabilitation Doing business as

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982615241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 S DANVILLE DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057230",
            "telephone_number": "325-232-7005",
            "fax_number": "325-232-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 S DANVILLE DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057230",
            "telephone_number": "325-232-7005",
            "fax_number": "325-232-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALOS REHABILITATION, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "325-232-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "TX",
            "license": "F4113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wengai Malvin Kahuni
• Roberta Marie Kalafut, D.O.
• Marygrace Kaleal, OTR
• Hari Krishna Kalla, MD
• Yamini Kalla, MD
• Chidinma Kanu, PHARMD
• Ameeta Kapu, MD
• Karassist Csfa LLC
• Emily Ann Karibian, REGISTERED DIETITIAN
• Sarah Karlin, RBT

• Rehabilitation Practitioner in Abilene, TX
• Providers in Abilene, TX by specialty
• Rehabilitation Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.