ANBERRY PHYSICAL REHABILITATION CENTER, INC — NPI 1639291529 (Licensed & Credentialed Hospital Units

CMS-1500 Box 24J / 33a • NPI

1639291529

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

273Y00000X (CMS A0[7])

Licensed & Credentialed Hospital Units — Rehabilitation Unit

Box 32 Service Location & ZIP+4

1675 SHAFFER RD, ATWATER, CA, 95301-4456

✓ 9-Digit EDI 837 ZIP+4 (95301-4456)

Practice Phone & Referral Fax

(209) 357-3420

Fax: (209) 357-0904

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1639291529 (ANBERRY PHYSICAL REHABILITATION CENTER, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1639291529` (NPI-2 Organization / Facility)
Provider / Legal Name	ANBERRY PHYSICAL REHABILITATION CENTER, INC
Plain-English Specialty	Licensed & Credentialed Hospital Units — Rehabilitation Unit NUCC Code: `273Y00000X` (Rehabilitation Unit)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1675 SHAFFER RD, ATWATER, CA, 95301-4456
Practice Telephone / Fax	Tel: (209) 357-3420 \| Fax: (209) 357-0904
Administrative Mailing Address	1685 SHAFFER RD, ATWATER, CA, 95301-4456
Enumeration & Last Sync	Enumerated: 2007-04-04 \| CMS Record Updated: 2008-06-17
Authorized Official	DAVE KUHLS (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1675 SHAFFER RD, ATWATER, CA, 95301-4456

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Plain-English Taxonomy & CMS Crosswalk (273Y00000X)

What Does Taxonomy Code 273Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 273Y00000X translates to:
"Licensed & Credentialed Hospital Units — Rehabilitation Unit"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospital-Rehabilitation Unit)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Rehabilitation Unit for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANBERRY PHYSICAL REHABILITATION CENTER, INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`273Y00000X` — Rehabilitation Unit Plain English: Licensed & Credentialed Hospital Units — Rehabilitation Unit	State: CA \| License: `040000070` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANBERRY PHYSICAL REHABILITATION CENTER, INC (NPI #1639291529)