Prodigy Rehabilitation Group Inc.

LBN: Prodigy Rehabilitation Group Inc.
Prodigy Rehabilitation Group Inc. is an health care organization with primary practice located at 10358 Pedra Do Sol Way , Elk Grove CA 95757-3471. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Prodigy Rehabilitation Group Inc. can be contacted via phone (916) 730-7092, or through Amali, Babak via phone (916) 730-7092.

Contact Information

Primary practice address
10358 Pedra Do Sol Way Elk Grove CA 95757-3471
Phone: (916) 730-7092
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Amali, Babak Occupational Therapist (OT)
Phone: (916) 730-7092

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1790382505
LBN Legal business name Prodigy Rehabilitation Group Inc.
DBA Doing business as
Authorized official Amali, Babak Occupational Therapist (OT)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2020
Last updated Oct 5th, 2020 - about 4 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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