Max Potential Rehab Inc

LBN: Max Potential Rehab Inc
Max Potential Rehab Inc is an health care organization with primary practice located at 7905 Cody Ln , Knoxville TN 37938-3172. The organization recently has 4 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Max Potential Rehab Inc can be contacted via phone (865) 776-8761, or through Martin, Jason via phone (865) 776-8761.

Contact Information

Primary practice address
7905 Cody Ln Knoxville TN 37938-3172
Phone: (865) 776-8761
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Jason BS, AS, PTA
Phone: (865) 776-8761

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 3409 Tennessee
Managed Care Organizations / Health Maintenance Organization 302R00000X 3409 Tennessee
Managed Care Organizations / Preferred Provider Organization 305R00000X 3409 Tennessee
Managed Care Organizations / Point of Service 305S00000X 3409 Tennessee

Profile Details

NPI number 1871810093
LBN Legal business name Max Potential Rehab Inc
DBA Doing business as
Authorized official Martin, Jason BS, AS, PTA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2010
Last updated Apr 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871810093 NPPES
Tennessee MEDICAID 0000001518

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