Therapeutic Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR 00390900 Issued in NJ

Legal business name

THERAPEUTIC REHAB LLC

Practice address

227 Holland Rd
Holmdel, NJ 07733-1216

Phone

(917) 656-6757

NPI assigned

Jan 27, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Igor Koval, OTRNPI 1326265703

Title

President

Phone

(917) 656-6757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Therapeutic Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Therapeutic Rehab LLC

  • Occupational Therapist
  • Somerset, NJ
  • NPI 1699131029
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor Koval

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1326265703

  NJ

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1760805774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HOLLAND RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331216",
            "telephone_number": "917-656-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOLLAND RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331216",
            "telephone_number": "917-656-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "KOVAL",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-656-6757",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR 00390900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Thakker, M.D.
• The Bell Works Pharmacy LLC (The Pharmacy at Bell Works)
• The Center for Esthetic Periodontics and Implantology, LLC
• The Soulution LLC
• The Square Knot
• Christine Carol Tintorer, M.D.
• Titan Diagnostic Imaging Services Inc.
• Valbona Tonuzi, APN
• Allison Torrone Torrone, P.T.
• Lena Ann Tragni

• Occupational Therapist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.