Provider Demographics
NPI:1235718149
Name:MAX REHAB LLC
Entity Type:Organization
Organization Name:MAX REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AUNG
Authorized Official - Middle Name:MYAT
Authorized Official - Last Name:MIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:646-709-4169
Mailing Address - Street 1:136 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2519
Mailing Address - Country:US
Mailing Address - Phone:646-709-4169
Mailing Address - Fax:
Practice Address - Street 1:136 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2519
Practice Address - Country:US
Practice Address - Phone:646-709-4169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy