Provider Demographics
NPI:1013743848
Name:REHAB GROUP LLC
Entity type:Organization
Organization Name:REHAB GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:ABUBACARR
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:502-338-8072
Mailing Address - Street 1:4022 BARDSTOWN RD STE B
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-2649
Mailing Address - Country:US
Mailing Address - Phone:502-882-1214
Mailing Address - Fax:
Practice Address - Street 1:4022 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2649
Practice Address - Country:US
Practice Address - Phone:606-233-8270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy