Healthcare Provider Details
I. General information
NPI: 1235434283
Provider Name (Legal Business Name): ADVANCE REHABILITATION & CONSULTING LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2011
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 LINDSEY LN STE A
SAINT MARYS GA
31558-1727
US
IV. Provider business mailing address
PO BOX 949
ROME GA
30162-0949
US
V. Phone/Fax
- Phone: 912-729-1333
- Fax: 912-729-5259
- Phone: 706-802-1991
- Fax: 706-802-1408
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
BINSTEIN
Title or Position: VP, AUTHORIZED OFFICIAL
Credential:
Phone: 713-297-7000