Provider Demographics
NPI:1073318077
Name:WORK INJURY REHABILITATION CENTER LLC
Entity type:Organization
Organization Name:WORK INJURY REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:FORTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:724-554-5546
Mailing Address - Street 1:4836 E MCDOWELL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-7713
Mailing Address - Country:US
Mailing Address - Phone:480-408-4822
Mailing Address - Fax:480-409-9421
Practice Address - Street 1:4836 E MCDOWELL RD STE 101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-7713
Practice Address - Country:US
Practice Address - Phone:480-408-4822
Practice Address - Fax:480-409-9421
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FORTE PHYSICAL THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy