Provider Demographics
NPI:1619142247
Name:TASK REHAB SERVICES LLC
Entity Type:Organization
Organization Name:TASK REHAB SERVICES LLC
Other - Org Name:SARATOGA PHYSICAL THERAPY & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:W
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:801-766-0103
Mailing Address - Street 1:18 W. SERGEANT CT. DR.
Mailing Address - Street 2:STE 101
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-5809
Mailing Address - Country:US
Mailing Address - Phone:801-766-0103
Mailing Address - Fax:801-766-0136
Practice Address - Street 1:18 W. SERGEANT CT. DR.
Practice Address - Street 2:STE 101
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045
Practice Address - Country:US
Practice Address - Phone:801-766-0103
Practice Address - Fax:801-766-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty