Healthcare Provider Details
I. General information
NPI: 1619714755
Provider Name (Legal Business Name): REHAB MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1291 N POST OAK RD STE 100
HOUSTON TX
77055-7230
US
IV. Provider business mailing address
3750 PRIORITY WAY SOUTH DR
INDIANAPOLIS IN
46240-3831
US
V. Phone/Fax
- Phone: 317-559-2034
- Fax:
- Phone: 317-436-6178
- Fax: 855-671-9194
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
GEARHEART
Title or Position: PRESIDENT
Credential:
Phone: 317-813-4210