MEDICARE: REHAB MEDICAL, 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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1619714755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB MEDICAL, LLC

Provider Business Mailing Address
First Line	:	3750 PRIORITY WAY SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3831
Country	:	US
Telephone Number	:	317-436-6178
Fax Number	:	855-671-9194

Provider Business Practice Location Address
First Line	:	1291 N POST OAK RD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7230
Country	:	US
Telephone Number	:	317-559-2034
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN GEARHEART
Credential	:
Telephone Number	:	317-813-4210

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	12/17/2025

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