Provider Demographics
NPI:1235171026
Name:TUSCALOOSA REHABILITATION AND HAND CENTER, INC
Entity Type:Organization
Organization Name:TUSCALOOSA REHABILITATION AND HAND CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:OT, PT, CHT
Authorized Official - Phone:205-759-2211
Mailing Address - Street 1:5690 WATERMELON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5008
Mailing Address - Country:US
Mailing Address - Phone:205-759-2211
Mailing Address - Fax:205-759-2213
Practice Address - Street 1:5690 WATERMELON RD STE 100
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5008
Practice Address - Country:US
Practice Address - Phone:205-759-2211
Practice Address - Fax:205-759-2213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5512860001Medicare NSC