Provider Demographics
NPI:1326121930
Name:HEALTH & REHABILITATION SPECIALISTS, PC
Entity Type:Organization
Organization Name:HEALTH & REHABILITATION SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-745-5200
Mailing Address - Street 1:2200 GATEWAY DR STE A
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6868
Mailing Address - Country:US
Mailing Address - Phone:334-745-5200
Mailing Address - Fax:334-737-2091
Practice Address - Street 1:2200 GATEWAY DR STE A
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6868
Practice Address - Country:US
Practice Address - Phone:334-745-5200
Practice Address - Fax:334-737-2091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00017430208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051514694OtherBLUE CROSS BLUE SHIELD
AL051514694Medicaid
AL051514694Medicaid