Provider Demographics
NPI:1639568793
Name:ZEAL REHAB, LLC
Entity Type:Organization
Organization Name:ZEAL REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRASANT
Authorized Official - Middle Name:HARESH
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MPH
Authorized Official - Phone:228-596-2449
Mailing Address - Street 1:PO BOX 6096
Mailing Address - Street 2:
Mailing Address - City:DIBERVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39540-6096
Mailing Address - Country:US
Mailing Address - Phone:228-596-2449
Mailing Address - Fax:866-807-2926
Practice Address - Street 1:5701 VIRGINIA PKWY
Practice Address - Street 2:UNIT# 3305
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5652
Practice Address - Country:US
Practice Address - Phone:228-596-2449
Practice Address - Fax:866-807-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty