Provider Demographics
NPI:1275306557
Name:REALIGN REHAB LLC
Entity Type:Organization
Organization Name:REALIGN REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARSHANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAYEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-995-1288
Mailing Address - Street 1:14 DEBRA DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08810-1581
Mailing Address - Country:US
Mailing Address - Phone:732-995-1288
Mailing Address - Fax:
Practice Address - Street 1:14 DEBRA DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-1581
Practice Address - Country:US
Practice Address - Phone:732-995-1288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty