Provider Demographics
NPI:1659007615
Name:REMOTE REHAB SERVICES LLC
Entity Type:Organization
Organization Name:REMOTE REHAB SERVICES LLC
Other - Org Name:PRIME PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COSOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CSCS
Authorized Official - Phone:973-618-6868
Mailing Address - Street 1:41 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07403-1727
Mailing Address - Country:US
Mailing Address - Phone:973-618-6868
Mailing Address - Fax:
Practice Address - Street 1:41 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:NJ
Practice Address - Zip Code:07403-1727
Practice Address - Country:US
Practice Address - Phone:973-618-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-31
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty