OrganizationActive
Professional Rehabilitation Hospital LLC
NPI 1518929926 · Long Term Care Hospital · Vidalia, LA
Provider details
- NPI number
- 1518929926
- Entity type
- Organization
- Primary specialty
- Long Term Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Sonja Watkins, Chief Financial Officer(601) 824-9010
Specialties & taxonomies
Hospitals
- Rehabilitation Hospital Unit273Y00000X
Hospital Units
Hospitals
- Medicare Defined Swing Bed Hospital Unit275N00000X
Hospital Units
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
209 Front St
Vidalia, LA 71373-2837
Phone: (318) 336-6500
Street-level locationGet directions
Mailing address
Po Box 1499
Brandon, MS 39043-1499
Other names (DBA / former)
- Doing business as
- Riverbridge Specialty Hospital
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.