Provider Demographics
NPI: | 1407477524 |
---|---|
Name: | REHABVISIONS THERAPY NE, LLC |
Entity type: | Organization |
Organization Name: | REHABVISIONS THERAPY NE, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ASSISTANT DIRECTOR OF OLPERATIONS |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | FLANAGAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 402-334-1919 |
Mailing Address - Street 1: | 11623 ARBOR STREET |
Mailing Address - Street 2: | |
Mailing Address - City: | OMAHA |
Mailing Address - State: | NE |
Mailing Address - Zip Code: | 68144 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 402-334-1919 |
Mailing Address - Fax: | 402-333-8556 |
Practice Address - Street 1: | 11623 ARBOR STREET |
Practice Address - Street 2: | |
Practice Address - City: | OMAHA |
Practice Address - State: | NE |
Practice Address - Zip Code: | 68144 |
Practice Address - Country: | US |
Practice Address - Phone: | 402-334-1919 |
Practice Address - Fax: | 402-333-8556 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-04-29 |
Last Update Date: | 2020-04-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty |