MEDICARE: REHAB MEDICAL OF LAS VEGAS, 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	332B00000X	Durable Medical Equipment & Medical Supplies	2000137-424	NV

General Provider Information

NPI Number	:	1083643993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB MEDICAL OF LAS VEGAS, INC.

Provider Business Mailing Address
First Line	:	3750 PRIORITY WAY SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3831
Country	:	US
Telephone Number	:	317-813-0205
Fax Number	:

Provider Business Practice Location Address
First Line	:	4780 W HARMON AVE
Second Line	:	SUITE 2
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-5240
Country	:	US
Telephone Number	:	702-248-6847
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PATRICK MCGINLEY
Credential	:
Telephone Number	:	317-813-0205

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	06/20/2025

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