Provider Demographics
NPI:1750065686
Name:AASK PHYSICAL THERAPY AND REHABILITATION
Entity type:Organization
Organization Name:AASK PHYSICAL THERAPY AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SESI KALA
Authorized Official - Middle Name:APARAJITHA
Authorized Official - Last Name:VILLA MPT
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:732-524-8735
Mailing Address - Street 1:1550 PARK AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5565
Mailing Address - Country:US
Mailing Address - Phone:908-444-8123
Mailing Address - Fax:908-444-8126
Practice Address - Street 1:1550 PARK AVE STE 201
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5565
Practice Address - Country:US
Practice Address - Phone:908-444-8123
Practice Address - Fax:908-444-8126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty