1952687618 NPI number — REHABILITATION UNLIMITED PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952687618 NPI number — REHABILITATION UNLIMITED PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHABILITATION UNLIMITED PLLC
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:
SUNG-JOON CHO MD INC
Provider Other Organization Name Type Code:
4
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:
1952687618
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 261318
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75026-1318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-788-8004
Provider Business Mailing Address Fax Number:
855-277-2295

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3351 WATERVIEW PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHARDSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75080-1449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-788-8008
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AN
Authorized Official First Name:
SAEROM
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
972-200-1944

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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