Provider Demographics
NPI:1902662885
Name:J & N REHAB PHYSICAL THERAPY
Entity Type:Organization
Organization Name:J & N REHAB PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS JOSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:CABITAC
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:917-916-6745
Mailing Address - Street 1:143 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-4111
Mailing Address - Country:US
Mailing Address - Phone:917-916-6745
Mailing Address - Fax:
Practice Address - Street 1:143 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4111
Practice Address - Country:US
Practice Address - Phone:917-916-6745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty