Provider Demographics
NPI:1437294410
Name:PARAMOUNT REHABILITATION SERVICES INCORPORATED
Entity Type:Organization
Organization Name:PARAMOUNT REHABILITATION SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEGRE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-978-3746
Mailing Address - Street 1:140 MIZZEN AVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-1919
Mailing Address - Country:US
Mailing Address - Phone:609-978-3746
Mailing Address - Fax:
Practice Address - Street 1:140 MIZZEN AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-1919
Practice Address - Country:US
Practice Address - Phone:609-978-3746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ097974225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ097974Medicare ID - Type UnspecifiedPHYSICAL THERAPY