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ADVANCE REHAB SERVICES INC NPI 1801430061


NPI Information

NPI: 1801430061
Provider Name: ADVANCE REHAB SERVICES, INC
Classification: Occupational Therapist - 225XN1300X
Entity Type: Organization

Specialization: Neurorehabilitation

Address:
350 NUGGET CT
SAN DIMAS, CA
ZIP 91773
Phone: (818) 314-5774
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ADVANCE REHAB SERVICES, INC is a neurorehabilitation occupational therapist in San Dimas, CA. ADVANCE REHAB SERVICES, INC NPI is 1801430061. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 NUGGET CT
SAN DIMAS, CA
ZIP 91773-312
Phone: (818) 314-5774
Fax: (818) 484-2146

The provider's authorized official is Manoj K Parida .
The authorized official title is President and has the following contact phone number (818) 314-5774.

The enumeration date for this NPI number is 10/31/2019 and was last updated on 4/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251G0304XPhysical TherapistGeriatricsNo
22251H1300XPhysical TherapistHuman FactorsNo
32251X0800XPhysical TherapistOrthopedicNo
4225X00000XOccupational TherapistNo
5225XH1300XOccupational TherapistHuman FactorsNo
6225XP0019XOccupational TherapistPhysical RehabilitationNo
7235Z00000XSpeech-Language PathologistNo
8225XN1300XOccupational TherapistNeurorehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OT817OTHERCALIFORNIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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