Provider Demographics
NPI:1093717571
Name:MILLENNIUM REHAB SOLUTIONS INC.
Entity Type:Organization
Organization Name:MILLENNIUM REHAB SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-244-0209
Mailing Address - Street 1:244 MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1417
Mailing Address - Country:US
Mailing Address - Phone:201-244-0209
Mailing Address - Fax:201-244-0209
Practice Address - Street 1:244 MERRITT AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-1417
Practice Address - Country:US
Practice Address - Phone:201-244-0209
Practice Address - Fax:201-244-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ073235Medicare ID - Type UnspecifiedPHYSICAL THERAPY PRACTICE