Provider Demographics
NPI:1568246684
Name:REBOUND IN-HOME THERAPY
Entity Type:Organization
Organization Name:REBOUND IN-HOME THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILGENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-606-4106
Mailing Address - Street 1:30 NE FOX RUN TRL
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-7102
Mailing Address - Country:US
Mailing Address - Phone:515-606-4106
Mailing Address - Fax:
Practice Address - Street 1:30 NE FOX RUN TRL
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-7102
Practice Address - Country:US
Practice Address - Phone:515-606-4106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty