Provider Demographics
NPI:1396039962
Name:REHABVISIONS
Entity Type:Organization
Organization Name:REHABVISIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATVE SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOUST
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:806-244-0015
Mailing Address - Street 1:1506 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4704
Mailing Address - Country:US
Mailing Address - Phone:806-676-7409
Mailing Address - Fax:806-244-0017
Practice Address - Street 1:115 E TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4319
Practice Address - Country:US
Practice Address - Phone:806-244-0015
Practice Address - Fax:806-244-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4047495261QP2000X, 282NR1301X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No282NR1301XHospitalsGeneral Acute Care HospitalRural
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility