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NPI Code Detail

MEDICARE: TX:TEAM REHAB INC.

MEDICARE: TX:TEAM REHAB 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
1225X00000XOccupational Therapist
2225100000XPhysical 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 : 1689974958
Entity Type Code : Organization
Provider Name (Legal Business Name) : TX:TEAM REHAB INC.
Provider Business Mailing Address
First Line : 9101 WESLEYAN RD STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-3103
Country : US
Telephone Number : 317-884-3383
Fax Number :
Provider Business Practice Location Address
First Line : 3100 TRADITION CIR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29466-7200
Country : US
Telephone Number : 843-654-7945
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. SCOTT BENEDICT
Credential :
Telephone Number : 317-884-3383
Provider Enumeration Date : 11/02/2010
Last Update Date : 06/12/2019

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