Provider Demographics
NPI:1003474305
Name:ABILITIES REHABILITATION & WELLNESS, PLLC
Entity Type:Organization
Organization Name:ABILITIES REHABILITATION & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAISIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:956-789-0524
Mailing Address - Street 1:2350 WASHINGTON PL NE APT 105
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1071
Mailing Address - Country:US
Mailing Address - Phone:956-789-0524
Mailing Address - Fax:
Practice Address - Street 1:2350 WASHINGTON PL NE APT 105
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1071
Practice Address - Country:US
Practice Address - Phone:956-789-0524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health