Professional Rehabilitation Hospital LLC
NPI 1639866353 · Pulmonary Disease Physician · Vidalia, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Professional Rehabilitation Hospital LLC is a Pulmonary Disease Physician organization in Vidalia, LA (NPI 1639866353).
Provider details
- NPI number
- 1639866353
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Professional Rehabilitation Hospital, LLC
- Organization subpart
- Yes
- Authorized official
- Sonja Watkins, Cfo(601) 824-9010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Riverbridge Pulmonary Clinic
Additional practice locations (1)
- 209 Front StVidalia, LA 71373-2837Phone: (318) 336-6500
Registry dates
- Enumerated
- 2023-04-21
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Frequently asked questions
- What is Professional Rehabilitation Hospital LLC's NPI number?
- Professional Rehabilitation Hospital LLC's National Provider Identifier (NPI) is 1639866353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Rehabilitation Hospital LLC?
- Professional Rehabilitation Hospital LLC is classified in the NPPES registry as Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Professional Rehabilitation Hospital LLC located?
- Professional Rehabilitation Hospital LLC's practice location on file with NPPES is 107 Front St, Vidalia, LA 71373-2836.
- What is Professional Rehabilitation Hospital LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Rehabilitation Hospital LLC is (318) 336-6500.
- Does Professional Rehabilitation Hospital LLC accept Medicare?
- Professional Rehabilitation Hospital LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Professional Rehabilitation Hospital LLC?
- The authorized official listed on Professional Rehabilitation Hospital LLC's NPPES record is Sonja Watkins, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Rehabilitation Hospital LLC's NPI active?
- Yes — Professional Rehabilitation Hospital LLC's NPI (1639866353) is active in the NPPES registry as of the last update on 2023-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.