Provider Demographics
NPI:1225103054
Name:REHABREWARDS, INC
Entity Type:Organization
Organization Name:REHABREWARDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIMSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:1800-997-8830
Mailing Address - Street 1:PO BOX 1619
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-6619
Mailing Address - Country:US
Mailing Address - Phone:800-997-8830
Mailing Address - Fax:510-280-8802
Practice Address - Street 1:771 JACKSON ST
Practice Address - Street 2:SUITE B
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-1032
Practice Address - Country:US
Practice Address - Phone:800-997-8830
Practice Address - Fax:510-280-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ04082ZMedicare PIN