Provider Demographics
NPI:1699915132
Name:ASPIRE REHAB CENTER, LLC
Entity type:Organization
Organization Name:ASPIRE REHAB CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-271-7246
Mailing Address - Street 1:3512 SW FAIRLAWN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3981
Mailing Address - Country:US
Mailing Address - Phone:785-271-7246
Mailing Address - Fax:
Practice Address - Street 1:2021 VANESTA PL
Practice Address - Street 2:SUITE C
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-0380
Practice Address - Country:US
Practice Address - Phone:785-320-7400
Practice Address - Fax:785-320-7598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5911340002Medicare NSC
KS176569Medicare Oscar/Certification