Provider Demographics
NPI:1104004431
Name:SAI REHAB INC
Entity Type:Organization
Organization Name:SAI REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NIRMAL
Authorized Official - Middle Name:N
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:478-714-2929
Mailing Address - Street 1:641 N RIVOLI FARMS DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-5366
Mailing Address - Country:US
Mailing Address - Phone:478-714-2929
Mailing Address - Fax:478-475-7974
Practice Address - Street 1:110 WOODFIELD DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-5625
Practice Address - Country:US
Practice Address - Phone:478-475-7988
Practice Address - Fax:478-475-7974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP 4774OtherMEDICARE NUMBER
GAGRP4774OtherMEDICARE NUMBER