Provider Demographics
NPI:1760545305
Name:REBOUND PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:REBOUND PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:856-401-8585
Mailing Address - Street 1:1820 OLD CUTHBERT RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1414
Mailing Address - Country:US
Mailing Address - Phone:856-401-8585
Mailing Address - Fax:856-401-3122
Practice Address - Street 1:1820 OLD CUTHBERT RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1414
Practice Address - Country:US
Practice Address - Phone:856-401-8585
Practice Address - Fax:856-401-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208100000X
NJ40QA00795500261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ058513Medicare ID - Type UnspecifiedPROVIDER NUMBER