Provider Demographics
NPI:1932246063
Name:REHAB FOR LIFE, LLC
Entity Type:Organization
Organization Name:REHAB FOR LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:812-449-7228
Mailing Address - Street 1:6215 E FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-2877
Mailing Address - Country:US
Mailing Address - Phone:812-401-5210
Mailing Address - Fax:812-401-5220
Practice Address - Street 1:6215 E FLORIDA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2877
Practice Address - Country:US
Practice Address - Phone:812-401-5210
Practice Address - Fax:812-401-5220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN252940Medicare PIN