Provider Demographics
NPI:1376783431
Name:CHESAPEAKE REHAB EQUIPMENT INC.
Entity Type:Organization
Organization Name:CHESAPEAKE REHAB EQUIPMENT INC.
Other - Org Name:ATG REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TAMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FEITEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-257-3443
Mailing Address - Street 1:805 BROOK ST STE 402
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3431
Mailing Address - Country:US
Mailing Address - Phone:314-447-7500
Mailing Address - Fax:
Practice Address - Street 1:1111 1/2 BRAGG BLVD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4513
Practice Address - Country:US
Practice Address - Phone:910-485-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHESAPEAKE REHAB EQUIPMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-03
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0331600014Medicare NSC