Provider Demographics
NPI:1447379177
Name:REHABILITY LLC
Entity Type:Organization
Organization Name:REHABILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHICKARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-780-6230
Mailing Address - Street 1:83 SOUTH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2491
Mailing Address - Country:US
Mailing Address - Phone:732-780-6230
Mailing Address - Fax:732-780-6232
Practice Address - Street 1:83 SOUTH ST STE 204
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2491
Practice Address - Country:US
Practice Address - Phone:732-780-6230
Practice Address - Fax:732-780-6232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2019-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00653500111N00000X
171100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty