Provider Demographics
NPI:1972588655
Name:REHABILITATION OPTIONS, PC
Entity type:Organization
Organization Name:REHABILITATION OPTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-479-2923
Mailing Address - Street 1:142 HARVARD RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1002
Mailing Address - Country:US
Mailing Address - Phone:978-479-2923
Mailing Address - Fax:
Practice Address - Street 1:564 DUTTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-4306
Practice Address - Country:US
Practice Address - Phone:978-479-2923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5494101YM0800X
MA1163225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1893637Medicaid