Basic Information
| Provider Information | |||||||||
| NPI: | 1932380888 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ADVANCED REHAB SOLUTIONS LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | JASON FURIA | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 609 MORRIS AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070811511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9733797006 | ||||||||
| FaxNumber: | 9734672364 | ||||||||
| Practice Location | |||||||||
| Address1: | 609 MORRIS AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070811511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9733797006 | ||||||||
| FaxNumber: | 9734672364 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2007 | ||||||||
| LastUpdateDate: | 11/30/2007 | ||||||||
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| AuthorizedOfficialLastName: | FURIA | ||||||||
| AuthorizedOfficialFirstName: | JASON | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OCCUPATIONAL THERAPIST/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9733797006 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OT | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | TR000455 | NJ | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.