Provider Demographics
NPI:1275679326
Name:PROFESSIONAL REHAB KARE, P.C.
Entity Type:Organization
Organization Name:PROFESSIONAL REHAB KARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:856-262-8577
Mailing Address - Street 1:8 GARDENIA CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4500
Mailing Address - Country:US
Mailing Address - Phone:856-262-8577
Mailing Address - Fax:856-346-3375
Practice Address - Street 1:215 E LAUREL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1361
Practice Address - Country:US
Practice Address - Phone:856-346-3370
Practice Address - Fax:856-346-3375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00354600261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0000006637OtherOPERATING ENGINEERS
NJ687802OtherACN GROUP UNITED HEALTH
NJ907797OtherUNITED HEALTH CARE
NJ5891758OtherAETNA GROUP
NJP443885OtherOXFORD
NJ10670461OtherCAQH
NJ1272723OtherFOCUS STRATFORD
NJ21139519023 03OtherBEECH STREET
NJ0816475000OtherPA BC BS
NJ451693OtherAMERIHEALTH
NJ1039682OtherFIRST HEALTH
NJ72002OtherCIGNA SHAPES
NJ72001OtherCIGNA STRATFORD
NJ912808OtherKEYSTONE
NJ5049064OtherAETNA
NJA116320OtherMULTIPLAN SHAPES
NJA116323OtherMULTIPLAN STRATFORD
NJA116320OtherMULTIPLAN SHAPES
NJ912808OtherKEYSTONE
NJ053770Medicare ID - Type UnspecifiedGROUP NUMBER