Provider Demographics
NPI:1487715744
Name:REHAB PLUS ASSOCIATES, LC
Entity type:Organization
Organization Name:REHAB PLUS ASSOCIATES, LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:BROCATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-794-7587
Mailing Address - Street 1:2925 POLO PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113
Mailing Address - Country:US
Mailing Address - Phone:804-794-7587
Mailing Address - Fax:804-794-4560
Practice Address - Street 1:2925 POLO PARKWAY
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113
Practice Address - Country:US
Practice Address - Phone:804-794-7587
Practice Address - Fax:804-794-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06047Medicare ID - Type Unspecified