MEDICARE: REHAB ASSOCIATES, 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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1285042812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	335 ROSELANE ST NW
Second Line	:	SUITE 201
City	:	MARIETTA
State	:	GA
Zip	:	30060-7902
Country	:	US
Telephone Number	:	470-259-5226
Fax Number	:	267-321-2044

Provider Business Practice Location Address
First Line	:	11220 MEMORIAL PKWY SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35803-4415
Country	:	US
Telephone Number	:	256-852-6900
Fax Number	:	256-852-0034

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	CYNTHIA L GOLDBERG
Credential	:
Telephone Number	:	610-644-7824

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	05/12/2015

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