MEDICARE: INTEGRITY REHAB MANAGEMENT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	204R00000X	Electrodiagnostic Medicine Physician
2	261QP2000X	Physical Therapy Clinic/Center
3	2251N0400X	Neurology Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1609873454	OTHER		CMS-NPPES

General Provider Information

NPI Number	:	1407449168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY REHAB MANAGEMENT

Provider Business Mailing Address
First Line	:	252 STRICKLAND PASTURE RD
Second Line	:
City	:	JACKSON
State	:	GA
Zip	:	30233-4019
Country	:	US
Telephone Number	:	706-329-5108
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 STRICKLAND PASTURE RD
Second Line	:
City	:	JACKSON
State	:	GA
Zip	:	30233-4019
Country	:	US
Telephone Number	:	706-329-5108
Fax Number	:

Authorized Official
Title or Position	:	OWNER-MANAGER
Name	:	SHAWN HUMPHRIES
Credential	:	MPT, OCS, ECS
Telephone Number	:	706-329-5108

Provider Enumeration Date	:	02/14/2021
Last Update Date	:	03/19/2025

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