Provider Demographics
NPI:1760714265
Name:AERIO REHAB SERVICES INC
Entity Type:Organization
Organization Name:AERIO REHAB SERVICES INC
Other - Org Name:AERIO REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAULIK
Authorized Official - Middle Name:V
Authorized Official - Last Name:PANCHOLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:678-687-8393
Mailing Address - Street 1:910 N HIGHWAY 146
Mailing Address - Street 2:SUITE # A
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-2252
Mailing Address - Country:US
Mailing Address - Phone:281-837-7571
Mailing Address - Fax:281-837-7573
Practice Address - Street 1:910 N HIGHWAY 146
Practice Address - Street 2:SUITE # A
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-2252
Practice Address - Country:US
Practice Address - Phone:281-837-7571
Practice Address - Fax:281-837-7573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty