Provider Demographics
NPI:1326495615
Name:MOBILE THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:MOBILE THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAFFA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, GCS
Authorized Official - Phone:914-631-9020
Mailing Address - Street 1:8 JOHN WALSH BLVD STE 406A
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-5333
Mailing Address - Country:US
Mailing Address - Phone:732-493-3100
Mailing Address - Fax:732-876-4967
Practice Address - Street 1:11 MALKE DR
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3370
Practice Address - Country:US
Practice Address - Phone:732-493-3100
Practice Address - Fax:732-876-4967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty