Rehab Specialty Medical, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REHAB SPECIALTY MEDICAL, INC.

Practice address

728 Heisinger Rd Unit F
Jefferson City, MO 65109-4791

Phone

(800) 386-8279

NPI assigned

Jan 30, 2007

Last updated

Dec 14, 2011By 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

Mr. Jason F Forrest

Title

President

Phone

(800) 386-8279

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1992842058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105602",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65110",
            "telephone_number": "800-386-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 HEISINGER RD UNIT F",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094791",
            "telephone_number": "800-386-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SPECIALTY MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-386-8279",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "19184786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Rauls, LPC
• Kelsey Reed
• Shannon Marie Reed, LPN
• Caleb Solomon Reese, PSYD
• Blake Alan Reeves, LCSW
• Rehabcare Group East LLC (RehabCare)
• Nicholas Rehagen, ATC
• Lindsay Rehling, DC
• Brittany Reichel
• Olivia Claire Reichert, OTR/L

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.