Healthcare Provider Details

I. General information

NPI: 1952442063
Provider Name (Legal Business Name): RIPPEE REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5134 STAGE RD SUITE 100
MEMPHIS TN
38134-3153
US

IV. Provider business mailing address

5134 STAGE RD SUITE 100
MEMPHIS TN
38134-3153
US

V. Phone/Fax

Practice location:
  • Phone: 901-412-4516
  • Fax: 901-388-9399
Mailing address:
  • Phone: 901-388-4444
  • Fax: 901-388-9399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberCRT3018
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License NumberCRT318
License Number StateTN

VIII. Authorized Official

Name: MS. TERESA RIPPEE
Title or Position: OWNER
Credential: RRT
Phone: 901-388-4444