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NPI Code Detail

MEDICARE: COMPREHAB LLC

MEDICARE: COMPREHAB 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
1235Z00000XSpeech-Language Pathologist
2251S00000XCommunity/Behavioral Health Agency
3103K00000XBehavior Analyst
4106E00000XAssistant Behavior Analyst
5225X00000XOccupational Therapist
6103T00000XPsychologist
7106S00000XBehavior Technician
8225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407932775
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHAB LLC
Provider Business Mailing Address
First Line : PO BOX 749
Second Line :
City : BELMONT
State : NC
Zip : 28012-0749
Country : US
Telephone Number : 704-824-7800
Fax Number : 704-824-7800
Provider Business Practice Location Address
First Line : 2675 COURT DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1478
Country : US
Telephone Number : 704-824-7800
Fax Number :
Authorized Official
Title or Position : MANAGER, PAYER RELATIONS
Name : CRYSTAL HENDERSON
Credential :
Telephone Number : 704-675-4816
Provider Enumeration Date : 10/31/2006
Last Update Date : 04/20/2026

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Directions to “COMPREHAB LLC ” Practice Location

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