MEDICARE: U.S. REHAB SERVICES, INC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1730214305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U.S. REHAB SERVICES, INC

Provider Business Mailing Address
First Line	:	6570 STAGE RD
Second Line	:	SUITE 204
City	:	BARTLETT
State	:	TN
Zip	:	38134-2839
Country	:	US
Telephone Number	:	901-871-6690
Fax Number	:	901-384-9587

Provider Business Practice Location Address
First Line	:	6570 STAGE RD
Second Line	:	SUITE 204
City	:	BARTLETT
State	:	TN
Zip	:	38134-2839
Country	:	US
Telephone Number	:	901-871-6690
Fax Number	:	901-384-9587

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MASOOMA TIWANA
Credential	:
Telephone Number	:	901-871-6690

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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