Provider Demographics
NPI:1932930856
Name:ONE STOP REHAB LLC
Entity type:Organization
Organization Name:ONE STOP REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPT
Authorized Official - Prefix:
Authorized Official - First Name:NARESHKUMAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:VEKARIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-230-1419
Mailing Address - Street 1:1291 OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4450
Mailing Address - Country:US
Mailing Address - Phone:910-502-0987
Mailing Address - Fax:910-502-9876
Practice Address - Street 1:1291 OLIVER ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4450
Practice Address - Country:US
Practice Address - Phone:910-502-0987
Practice Address - Fax:910-502-9876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty