1659347300 NPI number — REHABILITATION ASSOCIATES, INC.

Table of content: (NPI 1659347300)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659347300 NPI number — REHABILITATION ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHABILITATION ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659347300
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1931 BLACK ROCK TPKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRFIELD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06825-3506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-384-8681
Provider Business Mailing Address Fax Number:
203-384-0722

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1931 BLACK ROCK TPKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06825-3506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-384-8681
Provider Business Practice Location Address Fax Number:
203-384-0722
Provider Enumeration Date:
02/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LANDSMAN
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
203-384-8681

Provider Taxonomy Codes

  • Taxonomy code: 225400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0401X , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 40101 . This is a "CIGNA ORTHONET STRATFORD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 40105 . This is a "CIGNA ORTHONET WESTPORT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 0089222 . This is a "CIGNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 609649 . This is a "CONNECTICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 70618 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 196387 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 40102 . This is a "CIGNA ORTHONET MILFORD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 004060836 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 40104 . This is a "CIGNA ORTHONET FAIRFIELD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 40103 . This is a "CIGNA ORTHONET SHELTON" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 800009109CT01 . This is a "BCBS PT/SP" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: C02780 . This is a "FIRST COAST" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 800009109CT02 . This is a "BCBS OT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 001570 . This is a "HEALTHNET" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 70618 . This is a "US HEALTHCARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: ANC1205 . This is a "OXFORD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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