MEDICARE: REHAB MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1295687721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB MEDICAL LLC

Provider Business Mailing Address
First Line	:	3750 PRIORITY WAY SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3831
Country	:	US
Telephone Number	:	317-436-6178
Fax Number	:	855-671-9194

Provider Business Practice Location Address
First Line	:	145 WINDSOR HWY
Second Line	:
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-6232
Country	:	US
Telephone Number	:	845-565-5820
Fax Number	:	845-565-4242

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN GEARHEART
Credential	:
Telephone Number	:	317-813-4210

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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