Provider Demographics
NPI:1952797912
Name:ORION REHABILITATION, LLC
Entity Type:Organization
Organization Name:ORION REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JANWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-346-1688
Mailing Address - Street 1:2807 ALLEN ST
Mailing Address - Street 2:#803
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1031
Mailing Address - Country:US
Mailing Address - Phone:972-346-1688
Mailing Address - Fax:214-945-2675
Practice Address - Street 1:8100 JOHN W CARPENTER FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4700
Practice Address - Country:US
Practice Address - Phone:972-346-1688
Practice Address - Fax:214-945-2675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation