Provider Demographics
NPI:1508143884
Name:ENHANCED MOBILITY REHAB LLC
Entity Type:Organization
Organization Name:ENHANCED MOBILITY REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:908-208-7137
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-0280
Mailing Address - Country:US
Mailing Address - Phone:908-208-7137
Mailing Address - Fax:
Practice Address - Street 1:40 ELEANOR DR
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1816
Practice Address - Country:US
Practice Address - Phone:732-821-1631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00914000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty