Provider Demographics
NPI:1467263194
Name:WELLNESS MERGE REHAB
Entity type:Organization
Organization Name:WELLNESS MERGE REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KINJALBEN
Authorized Official - Middle Name:ANKUR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-562-4631
Mailing Address - Street 1:903 NISSLEY RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1472
Mailing Address - Country:US
Mailing Address - Phone:717-686-0681
Mailing Address - Fax:
Practice Address - Street 1:903 NISSLEY RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-1472
Practice Address - Country:US
Practice Address - Phone:717-686-0681
Practice Address - Fax:717-618-6709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy