Provider Demographics
NPI:1598138570
Name:RAINBOW THERAPY LLC
Entity Type:Organization
Organization Name:RAINBOW THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZALMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOROTZKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-534-7325
Mailing Address - Street 1:1400 PINE ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4963
Mailing Address - Country:US
Mailing Address - Phone:732-534-7325
Mailing Address - Fax:732-534-7304
Practice Address - Street 1:1400 PINE ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701
Practice Address - Country:US
Practice Address - Phone:732-534-7325
Practice Address - Fax:732-534-7304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 225X00000X, 235Z00000X
NJ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty