SUNDANCE REHABILITATION AGENCY, INC (NPI# 1972929024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972929024 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHABILITATION AGENCY, INC |
| Other Organization Name | SUNDANCE GEORGIA REHABILITATION AGENCY |
| Practice Address |
724 Greene St Augusta GA 30901-2359 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 7067222096 |
| Mailing Telephone | 7248315044 |
| Mailing Fax Number | 6106125459 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | DANIEL HIRSCHFELD (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 6104446350 |
| 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 |
|---|---|---|---|---|
| 1407012990 | Sundance Rehabilitation Agency, Inc | Clinic/Center | 14525 Clayton Rd, Apt #410, Ballwin, MO 63011-2764 | 2008-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Massachusetts Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 E. State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Oklahoma Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Street Address |
724 GREENE ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386076685 | Margret Hewett Greene | Physical Therapist | 724 Greene St, Augusta, GA 30901-2359 | 2013-08-08 |
| 1497388094 | Irene Hayenga | Physical Therapist | 724 Greene St, Augusta, GA 30901-2359 | 2020-02-21 |
| 1568001485 | Belinda Regina Tankersley | Occupational Therapist | 724 Greene St, Augusta, GA 30901-2359 | 2019-12-23 |
| 1023433190 | Sarah Marsh | Physical Therapist | 724 Greene St, Augusta, GA 30901-2359 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891003489 | United Rehab Inc | Clinic/Center | 2451 Milledgeville Road, Augusta, GA 30904 | 2010-09-17 |
| 1578870986 | United Rehab Inc. | Clinic/Center | 2122 Cumming Rd, Augusta, GA 30904-4334 | 2010-09-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.