INTEGRA REHABILITATION AGENCY, LLC (NPI# 1053414177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053414177 |
| Entity Type | Organization |
| Organization Name | INTEGRA REHABILITATION AGENCY, LLC |
| Other Organization Name | INTEGRA REHAB AGENCY |
| Practice Address |
1013 Riverburch Pkwy Suite 4 Dalton GA 30721-8887 |
| Practice Telephone | 7062784438 |
| Practice Fax Number | 7062267869 |
| Mailing Telephone | 7062784438 |
| Mailing Fax Number | 7062267869 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | MARIA ALICIA SHOOP (ADMINISTRATOR) |
| Authorized Official Telephone | 8662618090 |
| Authorized Official Credential | PT |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY REHABILITATION SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Integra Rehab Agency | Doing Business As Name - Organization |
| Street Address |
1013 RIVERBURCH PKWY SUITE 4 |
| City | DALTON |
| State | GA |
| Zip Code | 30721-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922425503 | Heather H Mcinnis | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2014-03-21 |
| 1780028316 | Jill Kozlowski | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2013-04-25 |
| 1184977357 | Wilma Abdon Estandian | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2012-10-24 |
| 1245552413 | Lori Knight | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2010-02-15 |
| 1578893996 | Julie Merritt | Speech-Language Pathologist | 1013 Riverburch Pkwy, Dalton, GA 30721-8887 | 2010-01-07 |
| 1043549892 | Pauline Parillo Goroza | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-12-08 |
| 1225367030 | Francisco B Cuaresma Jr. | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-12-08 |
| 1720314297 | Jerri F Landrum | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-10-19 |
| 1194058982 | Katherine Fernandez | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-09-10 |
| 1164755054 | Greet Maria Caers | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 |
| 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 |
| 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 |
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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.