SUNDANCE REHABILITATION AGENCY LLC (NPI# 1376969410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376969410 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHABILITATION AGENCY LLC |
| Other Organization Name | SUNDANCE GEORGIA REHABILITATION AGENCY |
| Practice Address |
1 Peachtree Dr Savannah GA 31419-1200 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 9127774453 |
| Mailing Telephone | 7248315044 |
| Mailing Fax Number | 6106125459 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LOUISE ANN SOIKA (SVP) |
| Authorized Official Telephone | 6109254088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sundance Georgia Rehabilitation Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689901332 | Sundance Rehabilitation Agency LLC | Clinic/Center | 1125 Birch Rd, Lebanon, PA 17042-9123 | 2009-11-17 |
| 1073662607 | Sundance Rehabilitation Agency LLC | Clinic/Center | 3001 W Blue Starr Dr, Claremore, OK 74017-2544 | 2007-01-10 |
| Street Address |
1 PEACHTREE DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790861847 | Kathryn Marie Clark | Physical Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2006-10-31 |
| 1508480799 | Danette Renee Kerr | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2020-06-03 |
| 1083102230 | Judith Pasley Loomis | Occupational Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2018-04-24 |
| 1205350196 | Shelly O'dell | Occupational Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419 | 2017-08-01 |
| 1609306182 | Wiloise Harper | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2017-06-15 |
| 1134653678 | Leiba Kahan | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2017-04-11 |
| 1194264283 | Ladonna Nash | Occupational Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2017-02-22 |
| 1629510771 | Sarah Dagley-clarke | Physical Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2016-11-07 |
| 1952764938 | Karen Lea Ashley | Occupational Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2016-03-29 |
| 1689032567 | Jessica Littlejohn Lee | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2016-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1730496217 | United Rehab Inc | Clinic/Center | 12825 White Bluff Rd, Savannah, GA 31419-2993 | 2010-09-07 |
| 1194054056 | Developmental Therapy Associates | Clinic/Center | 106 Oglethorpe Professional Ct Ste A, Savannah, GA 31406-3693 | 2009-12-23 |
| 1942703269 | Effingham Rehab Services, LLC | Clinic/Center | 902 E 67th St, Savannah, GA 31405-4613 | 2018-03-13 |
| 1487177804 | Effingham Rehab Services, Inc | Clinic/Center | 6206 Waters Ave, Savannah, GA 31406-2708 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| 1861885840 | Caretherapy, LLC | Clinic/Center | 1567 Janmar Rd Ste 200, Snellville, GA 30078-0309 | 2015-03-14 |
| 1942606991 | Physical Therapy Forum | Clinic/Center | 5755 N Point Pkwy Ste 56, Alpharetta, GA 30022-1145 | 2014-11-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUNDANCE REHABILITATION AGENCY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.