Provider Demographics
NPI:1396889309
Name:REHAB 2000 INC
Entity type:Organization
Organization Name:REHAB 2000 INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-625-4600
Mailing Address - Street 1:PO BOX 1698
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:AL
Mailing Address - Zip Code:35121-0019
Mailing Address - Country:US
Mailing Address - Phone:205-625-4600
Mailing Address - Fax:205-625-4607
Practice Address - Street 1:28256 STATE HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-0019
Practice Address - Country:US
Practice Address - Phone:205-625-4600
Practice Address - Fax:205-625-4607
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHAB 2000 PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-16
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI047Medicare PIN