Provider Demographics
NPI:1881306652
Name:INTEGRITY REHAB MANAGEMENT
Entity type:Organization
Organization Name:INTEGRITY REHAB MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:BULL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:470-809-1581
Mailing Address - Street 1:252 STRICKLAND PASTURE ROAD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:GA
Mailing Address - Zip Code:30233-4019
Mailing Address - Country:US
Mailing Address - Phone:470-809-1581
Mailing Address - Fax:470-809-1582
Practice Address - Street 1:2336 WISTERIA DRIVE,
Practice Address - Street 2:#420
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6160
Practice Address - Country:US
Practice Address - Phone:470-809-1581
Practice Address - Fax:470-809-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, ClinicalGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty