Healthcare Provider Details

I. General information

NPI: 1174119127
Provider Name (Legal Business Name): REHABVISIONS THERAPY NE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WESTOWN PKWY STE 104
WEST DES MOINES IA
50265-1540
US

IV. Provider business mailing address

11623 ARBOR ST STE 200
OMAHA NE
68144-2991
US

V. Phone/Fax

Practice location:
  • Phone: 515-223-6620
  • Fax: 515-223-9625
Mailing address:
  • Phone: 402-334-1919
  • Fax: 402-333-8556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER L FLANAGAN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 408-334-6061