MEDICARE: NEURO REHAB INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073483160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO REHAB INC

Provider Business Mailing Address
First Line	:	1340 FOX ACRES DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-0511
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 FOX ACRES DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-0511
Country	:	US
Telephone Number	:	888-436-4412
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	MIKAELA COHEN
Credential	:
Telephone Number	:	818-802-0730

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	11/05/2025

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