MEDICARE: A1 REHAB 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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1588452486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 REHAB LLC

Provider Business Mailing Address
First Line	:	6314 GERANIUM
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-5863
Country	:	US
Telephone Number	:	313-420-7656
Fax Number	:

Provider Business Practice Location Address
First Line	:	6314 GERANIUM
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-5863
Country	:	US
Telephone Number	:	313-420-7656
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALDIN SONEJA
Credential	:
Telephone Number	:	313-420-7656

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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