Provider Demographics
NPI:1588697999
Name:REHAB WORLD INC
Entity type:Organization
Organization Name:REHAB WORLD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:GENTICA
Authorized Official - Last Name:GERSAVA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:901-465-1801
Mailing Address - Street 1:301 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38068-1309
Mailing Address - Country:US
Mailing Address - Phone:901-465-1801
Mailing Address - Fax:901-465-1894
Practice Address - Street 1:301 N WEST ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38068-1309
Practice Address - Country:US
Practice Address - Phone:901-465-1801
Practice Address - Fax:901-465-1894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN17831OtherUAHC PROVIDER #
TN4086912OtherBCBS
TN6367366OtherCIGNA PROVIDER #
TN3626768OtherAETNA PROVIDER #
TN152046OtherUNISON
TN21677OtherTLC PROVIDER #
TNDC2788OtherRAILROAD MEDICARE
TN6367366OtherCIGNA PROVIDER #