Provider Demographics
NPI:1295523983
Name:REHAB ESSENTIALS, PLLC
Entity type:Organization
Organization Name:REHAB ESSENTIALS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMRUTA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNJAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-502-9904
Mailing Address - Street 1:25331 WAKESTONE PARK TER
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-2060
Mailing Address - Country:US
Mailing Address - Phone:603-502-9904
Mailing Address - Fax:
Practice Address - Street 1:25331 WAKESTONE PARK TER
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-2060
Practice Address - Country:US
Practice Address - Phone:603-502-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty