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NPI Code Detail

MEDICARE: REHABILITATION ASSOCIATES INC

MEDICARE: REHABILITATION ASSOCIATES 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
1225XP0200XPediatric Occupational Therapist
2235Z00000XSpeech-Language Pathologist
3261QR0400XRehabilitation Clinic/Center
4224Z00000XOccupational Therapy Assistant
5225200000XPhysical Therapy Assistant
6252Y00000XEarly Intervention Provider Agency
72251P0200XPediatric Physical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205860764
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION ASSOCIATES INC
Provider Business Mailing Address
First Line : 400 INTERSTATE NORTH PKWY SE STE 1600
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5047
Country : US
Telephone Number : 470-464-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4560 SOUTH BLVD STE 310
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-1160
Country : US
Telephone Number : 757-490-3223
Fax Number : 757-490-3867
Authorized Official
Title or Position : CFO
Name : MATTHEW BUCKHALTER
Credential :
Telephone Number : 470-464-8000
Provider Enumeration Date : 07/10/2006
Last Update Date : 02/13/2026

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Directions to “REHABILITATION ASSOCIATES INC ” Practice Location

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