1407896988 NPI number — ROBBINS REHABILITATION

Table of content: (NPI 1407896988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407896988 NPI number — ROBBINS REHABILITATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBBINS REHABILITATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407896988
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2895 HAMILTON BLVD
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18104-6172
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-841-3555
Provider Business Mailing Address Fax Number:
610-841-3558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
51 BROAD ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
PHILLIPSBURG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08865-1206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-454-2404
Provider Business Practice Location Address Fax Number:
908-454-2431
Provider Enumeration Date:
06/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROBBINS
Authorized Official First Name:
TRAVIS
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
OWNER PHYSICAL THERAPIST
Authorized Official Telephone Number:
610-841-3555

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT016014 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com