TOTAL REHAB, INC (NPI# 1740622539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740622539 |
| Entity Type | Organization |
| Organization Name | TOTAL REHAB, INC |
| Practice Address |
307 Chartrese Dr Brandon MS 39047-8779 |
| Practice Telephone | 6019063718 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | SCOTT WAYNE GRANTHAM (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 6019063718 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT3612 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09504253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174630982 | Total Rehab, Inc | Chiropractor | 2358 Plank Rd, Fredericksburg, VA 22401-4900 | 2006-08-25 |
| 1467458349 | Total Rehab, Inc | Clinic/Center | 4406 S Florida Ave, Ste 16, Lakeland, FL 33813-2182 | 2005-06-24 |
| 1952757650 | Total Rehab, Inc | Physical Therapist | 2515 E Glenn Ave, Suite 104, Auburn, AL 36830-6453 | 2016-05-11 |
| 1760843866 | Total Rehab, Inc | Clinic/Center | 120 E Main St, Florence, MS 39073-8410 | 2016-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Total Rehab, Inc. | 2515 E Glenn Ave # 104, Auburn, AL 36830 |
| Street Address |
307 CHARTRESE DR |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-8779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821477167 | Biogenics, LLC | Clinic/Center | 307 Chartrese Dr, Brandon, MS 39047-8779 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858922 | Motus Vita Physical Therapy | Clinic/Center | 930 Lithia Pinecrest Rd, Brandon, FL 33511-6121 | 2019-02-26 |
| 1801309778 | 2083 Therapy, LLC | Clinic/Center | 1392 W Government St Ste C, Brandon, MS 39042-3049 | 2017-11-14 |
| 1093109639 | Synergy Myofascial Release & Rehab, Inc. | Clinic/Center | 115 Village Sq Ste K, Brandon, MS 39047-6069 | 2015-03-21 |
| 1164726162 | Rnj Home Health Services, Inc | Clinic/Center | 47 Camelot Ridge Dr, Brandon, FL 33511-8099 | 2011-01-05 |
| 1346494697 | Avera Mckennan | Clinic/Center | 103 N Splitrock Blvd, Brandon, SD 57005-1529 | 2008-11-13 |
| 1235324005 | Family Physical Therapy Center | Clinic/Center | 704 W Lumsden Rd, Brandon, FL 33511-6260 | 2007-09-13 |
| 1467505370 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 116 N Kings Ave, Brandon, FL 33510-4302 | 2007-01-22 |
| 1184777005 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 932 940 Oakfield Road, Suite C D4, Brandon, FL 33511 | 2007-01-22 |
| 1881171791 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 934 Oakfield Dr, Brandon, FL 33511-4950 | 2018-07-24 |
| 1659885986 | Enduracare Acute Care Services LLC | Clinic/Center | 1392 W Government St # C, Brandon, MS 39042-3049 | 2017-11-22 |
| Find all providers in BRANDON | ||||
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| 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.