Provider Demographics
| NPI: | 1407477524 |
|---|---|
| Name: | REHABVISIONS THERAPY NE, LLC |
| Entity type: | Organization |
| Organization Name: | REHABVISIONS THERAPY NE, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ASSISTANT DIRECTOR OF OLPERATIONS |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JENNIFER |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FLANAGAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 402-334-1919 |
| Mailing Address - Street 1: | 11623 ARBOR STREET |
| Mailing Address - Street 2: | |
| Mailing Address - City: | OMAHA |
| Mailing Address - State: | NE |
| Mailing Address - Zip Code: | 68144 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 402-334-1919 |
| Mailing Address - Fax: | 402-333-8556 |
| Practice Address - Street 1: | 11623 ARBOR STREET |
| Practice Address - Street 2: | |
| Practice Address - City: | OMAHA |
| Practice Address - State: | NE |
| Practice Address - Zip Code: | 68144 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 402-334-1919 |
| Practice Address - Fax: | 402-333-8556 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-04-29 |
| Last Update Date: | 2020-04-29 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty |