Provider Demographics
NPI:1659324952
Name:MOBILE REHAB L.L.C.
Entity Type:Organization
Organization Name:MOBILE REHAB L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-636-2423
Mailing Address - Street 1:229 FEARRINGTON POST
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8555
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:229 FEARRINGTON POST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8555
Practice Address - Country:US
Practice Address - Phone:919-636-2423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCDF9450OtherRAILROAD MEDICARE
NC7211937Medicaid
NC017R9OtherBCBS
NCDF9450OtherRAILROAD MEDICARE