Provider Demographics
NPI:1093718538
Name:REHABILITATION PRACTITIONERS INC
Entity Type:Organization
Organization Name:REHABILITATION PRACTITIONERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CESTARO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:540-722-9025
Mailing Address - Street 1:333 W CORK ST
Mailing Address - Street 2:UNIT 30
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3816
Mailing Address - Country:US
Mailing Address - Phone:540-722-9025
Mailing Address - Fax:540-667-9915
Practice Address - Street 1:1008 TAVERN RD
Practice Address - Street 2:STE 302
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-2801
Practice Address - Country:US
Practice Address - Phone:304-267-8050
Practice Address - Fax:304-267-8051
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABILITATION PRACTITIONERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-30
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0147101000Medicaid
WV0147101000Medicaid