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FUNCTIONAL NEURO REHAB, LLC
NPI 1023612066
Clinic/Center - Rehabilitation in Henderson, NV

Active since November 30, 2020
650 WHITNEY RANCH DR APT 1511, HENDERSON, NV 89014(253) 261-8436 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Nov 30, 2020 (2 updates tracked since 2020).

About Functional Neuro Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL NEURO REHAB, LLC (NPI 1023612066) is a healthcare organization registered as a rehabilitation in Henderson, Nevada and active in the NPI registry since November 2020. The organization lists Shannon Mariah Olivero-chew, Owner, as its authorized official.

NPPES Registry Identity

NPI1023612066
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameFUNCTIONAL NEURO REHAB, LLC
Location Address650 WHITNEY RANCH DR APT 1511Henderson, NV 89014-2615
Mailing Address304 S Jones Blvd Ste 3511Las Vegas, NV 89107-2623 · (575) 479-7056
Phone(253) 261-8436
Organization SubpartNo
Authorized OfficialShannon Mariah Olivero-chewOwner · (575) 479-7056
Enumeration DateNovember 30, 2020
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1023612066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
650 WHITNEY RANCH DR APT 1511, Henderson, NV 89014
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Neuro Rehab, LLC's NPI number?

The NPI number for Functional Neuro Rehab, LLC is 1023612066. It was assigned to this organization in the NPPES registry on November 30, 2020.

Where is Functional Neuro Rehab, LLC located?

Functional Neuro Rehab, LLC is located at 650 Whitney Ranch Dr Apt 1511, Henderson, NV 89014. The listed phone number is (253) 261-8436.

What is Functional Neuro Rehab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Functional Neuro Rehab, LLC was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.