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NPI Code Detail

MEDICARE: REHAB AT YOUR PLACE, LLC

MEDICARE: REHAB AT YOUR PLACE, LLC
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
1224Z00000XOccupational Therapy AssistantTN
2225100000XPhysical TherapistTN
32251G0304XGeriatric Physical TherapistTN
42251P0200XPediatric Physical TherapistTN
5225200000XPhysical Therapy AssistantTN
6225X00000XOccupational TherapistTN
7225XP0200XPediatric Occupational TherapistTN
8235Z00000XSpeech-Language PathologistTN
9261QH0700XHearing and Speech Clinic/CenterTN
10261QM1300XMulti-Specialty Clinic/CenterTN
11225XF0002XFeeding, Eating & Swallowing Occupational TherapistTN
12252Y00000XEarly Intervention Provider AgencyTN
13225XP0019XPhysical Rehabilitation Occupational TherapistTN
14222Q00000XDevelopmental TherapistTN
15225400000XRehabilitation PractitionerTN

General Provider Information

NPI Number : 1194868158
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB AT YOUR PLACE, LLC
Provider Business Mailing Address
First Line : 5469 SOUTHWOOD DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1928
Country : US
Telephone Number : 901-761-0021
Fax Number : 901-432-5215
Provider Business Practice Location Address
First Line : 6320 N QUAIL HOLLOW RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1420
Country : US
Telephone Number : 901-761-0021
Fax Number : 901-432-5215
Authorized Official
Title or Position : OWNER
Name : MRS. SUSAN L MILLER
Credential : MS CCC-SLP
Telephone Number : 901-761-0021
Provider Enumeration Date : 02/15/2007
Last Update Date : 11/10/2011

Similar Medicare Providers

1114110657 — MRS. KALYANI VAIBHAV GARDE M.S. OTR/L
Practice Location Address:
6320 N QUAIL HOLLOW RD
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Practice Phone: 901-761-0021
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1841469392 — SUSAN L MILLER MS CCC-SLP
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1841569894 — APRIL CLAYBON
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1518237759 — MRS. ELIZABETH DAWN ALLEN-KLEMKE MSOTR/L
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1477970242 — REHAB AT YOUR PLACE
Practice Location Address:
6320 N QUAIL HOLLOW RD
MEMPHIS, TN
38120-1420
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Practice Fax: 901-432-5215
1255751517 — ALEAH OWENS
Practice Location Address:
6320 N QUAIL HOLLOW RD
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