REHAB 365 INC — NPI 1811697485 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in BLUE HILL, ME)

CMS-1500 Box 24J / 33a • NPI

1811697485

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR0400X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

63 PARKER RIDGE LN STE 200, BLUE HILL, ME, 04614-6129

✓ 9-Digit EDI 837 ZIP+4 (04614-6129)

Practice Phone & Referral Fax

(978) 491-8084

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1811697485 (REHAB 365 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	`1811697485` (NPI-2 Organization / Facility)
Provider / Legal Name	REHAB 365 INC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR0400X` (Clinic/Center, Rehabilitation)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	63 PARKER RIDGE LN STE 200, BLUE HILL, ME, 04614-6129
Practice Telephone / Fax	Tel: (978) 491-8084
Administrative Mailing Address	16623 W ROAD RIVER, INGLIS, FL, 34449
Enumeration & Last Sync	Enumerated: 2023-03-03 \| CMS Record Updated: 2023-03-06
Authorized Official	JANET MAHONEY (President and CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

63 PARKER RIDGE LN STE 200, BLUE HILL, ME, 04614-6129

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Plain-English Taxonomy & CMS Crosswalk (261QR0400X)

What Does Taxonomy Code 261QR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR0400X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Rehabilitation Agency) • CMS Code B4[14] (Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (REHAB 365 INC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`224L00000X` — Pedorthist Plain English: Licensed & Credentialed Pedorthist	State: N/A \| License: `Verified` \| Primary: Secondary
`224Z00000X` — Occupational Therapy Assistant Plain English: Licensed & Credentialed Occupational Therapy Assistant	State: N/A \| License: `Verified` \| Primary: Secondary
`2251G0304X` — Physical Therapist, Geriatrics Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics	State: N/A \| License: `Verified` \| Primary: Secondary
`225200000X` — Physical Therapy Assistant Plain English: Licensed & Credentialed Physical Therapy Assistant	State: N/A \| License: `Verified` \| Primary: Secondary
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: N/A \| License: `Verified` \| Primary: Secondary
`225XG0600X` — Occupational Therapist, Gerontology Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0400X` — Clinic/Center, Rehabilitation Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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REHAB 365 INC (NPI #1811697485)