Provider Demographics
NPI:1659347300
Name:REHABILITATION ASSOCIATES, INC.
Entity Type:Organization
Organization Name:REHABILITATION ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC-SLP
Authorized Official - Phone:203-384-8681
Mailing Address - Street 1:1931 BLACK ROCK TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-3506
Mailing Address - Country:US
Mailing Address - Phone:203-384-8681
Mailing Address - Fax:203-384-0722
Practice Address - Street 1:1931 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-3506
Practice Address - Country:US
Practice Address - Phone:203-384-8681
Practice Address - Fax:203-384-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
CT261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT40101OtherCIGNA ORTHONET STRATFORD
CT40105OtherCIGNA ORTHONET WESTPORT
CT0089222OtherCIGNA
CT609649OtherCONNECTICARE
CT70618OtherAETNA
CT196387OtherUNITED HEALTHCARE
CT40102OtherCIGNA ORTHONET MILFORD
CT004060836Medicaid
CT40104OtherCIGNA ORTHONET FAIRFIELD
CT40103OtherCIGNA ORTHONET SHELTON
CT800009109CT01OtherBCBS PT/SP
CTC02780OtherFIRST COAST
CT800009109CT02OtherBCBS OT
CT001570OtherHEALTHNET
CT70618OtherUS HEALTHCARE
CTANC1205OtherOXFORD
CT800009109CT01OtherBCBS PT/SP
CT40103OtherCIGNA ORTHONET SHELTON
CT40105OtherCIGNA ORTHONET WESTPORT