Provider Demographics
NPI:1720223399
Name:ONSITE ERGONOMICS AND REHABILITATION INC.
Entity Type:Organization
Organization Name:ONSITE ERGONOMICS AND REHABILITATION INC.
Other - Org Name:ADAPT IT ERGONOMICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:806-785-6300
Mailing Address - Street 1:PO BOX 93911
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79493-3911
Mailing Address - Country:US
Mailing Address - Phone:806-785-6300
Mailing Address - Fax:806-797-0140
Practice Address - Street 1:3602 SLIDE RD
Practice Address - Street 2:SUITE B8
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-2532
Practice Address - Country:US
Practice Address - Phone:806-785-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental ModificationGroup - Single Specialty