NPI Code Details Logo

NPI 1861340457

NPI 1861340457 : REHAB ACCESS LLC : RIVER RIDGE, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861340457
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    REHAB ACCESS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/19/2026
-----------------------------------------------------
    Last Update Date     |    03/19/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9605 JEFFERSON HWY STE F 
-----------------------------------------------------
    City                 |    RIVER RIDGE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70123-2550
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    504-603-6044
-----------------------------------------------------
    Fax                  |    504-613-4617
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    625 KENMOOR AVE SE STE 100 
-----------------------------------------------------
    City                 |    GRAND RAPIDS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49546-2395
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    616-356-5000
-----------------------------------------------------
    Fax                  |    616-356-5001
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     RICHARD  LEAVER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    616-356-5000
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225XH1200X
-----------------------------------------------------
    Taxonomy Name        |    Hand Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.