Provider Demographics
NPI:1023004819
Name:REHAB TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:REHAB TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-474-7644
Mailing Address - Street 1:3200 HWY 42 NORTH
Mailing Address - Street 2:SUITE A
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-4666
Mailing Address - Country:US
Mailing Address - Phone:770-474-7644
Mailing Address - Fax:770-474-3468
Practice Address - Street 1:3200 HIGHWAY 42 NORTH
Practice Address - Street 2:SUITE A
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4666
Practice Address - Country:US
Practice Address - Phone:770-474-7644
Practice Address - Fax:770-474-3468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA075051446332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000510815AMedicaid
0453670001Medicare ID - Type Unspecified