Provider Demographics
NPI:1538350483
Name:R & R REHABILIATION, P.C.
Entity type:Organization
Organization Name:R & R REHABILIATION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:VERSILLA
Authorized Official - Last Name:ROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:706-507-4433
Mailing Address - Street 1:6079 KNOLOGY WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-4963
Mailing Address - Country:US
Mailing Address - Phone:706-507-4433
Mailing Address - Fax:706-507-4463
Practice Address - Street 1:6079 KNOLOGY WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4963
Practice Address - Country:US
Practice Address - Phone:706-507-4433
Practice Address - Fax:706-507-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511G650001Medicare UPIN
GA6417450001Medicare NSC