Healthcare Provider Details

I. General information

NPI: 1902205099
Provider Name (Legal Business Name): REHAB MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2866 DAUPHIN ST STE M
MOBILE AL
36606-2482
US

IV. Provider business mailing address

3750 PRIORITY WAY SOUTH DR
INDIANAPOLIS IN
46240-3831
US

V. Phone/Fax

Practice location:
  • Phone: 317-813-0205
  • Fax: 251-725-6204
Mailing address:
  • Phone: 317-436-6178
  • Fax: 251-725-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1303
License Number StateIN

VIII. Authorized Official

Name: MR. PATRICK D MCGINLEY
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 317-813-0205