Active NPIOrganization

Activa Rehabilitation Services LLC

Physical Therapist in Orange, New Jersey

NPI Number1366796039
Practice location
331 Central Avenue, 1, Orange, NJ 07050-2407
Fax
973-673-4606
Last updated
April 14, 2015

Activa Rehabilitation Services LLC is a healthcare organization based in Orange, NJ. Activa Rehabilitation Services LLC practices in Orange, NJ. The NPI Number for Activa Rehabilitation Services LLC is 1366796039 and holds a License No. 40QA00445900 (NJ). The current practice location address for Activa Rehabilitation Services LLC is 331 Central Avenue, 1, Orange, NJ 07050-2407 and can be reached out via phone at 973-673-4600 and via fax at 973-673-4606.

Provider Profile Details

NPI Number
1366796039
Provider Name
Activa Rehabilitation Services LLC
Provider Entity Type
Organization
Address
331 Central Avenue, 1, Orange, NJ 07050-2407
Phone Number
973-673-4600
Fax Number
973-673-4606
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Mr. Olufemi Dosunmu, PT · President · 973-214-2315
Provider Enumeration Date
November 2, 2012
Last Update Date
April 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 Central Avenue, 1
Orange, NJ 07050-2407
City
Orange
Zip
07050-2407
Phone Number
973-673-4600
Fax Number
973-673-4606
Orange, NJ 07050Get directions →

Provider Business Mailing Address Details

Address
336 Park Ave
Orange, NJ 07050-2827
City
Orange
State
NJ
Zip
07050-2827
Phone Number
973-673-4600
Fax Number
973-673-4606

License Information

License Number
40QA00445900
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Activa Rehabilitation Services LLC?

The NPI number of Activa Rehabilitation Services LLC is 1366796039. It was assigned on November 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Activa Rehabilitation Services LLC?

Activa Rehabilitation Services LLC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00445900.

Where does Activa Rehabilitation Services LLC practice?

The practice location is 331 Central Avenue, 1, Orange, NJ 07050-2407. The office can be reached at 973-673-4600 (phone) or 973-673-4606 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366796039 directly on the NPPES registry website.

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