Provider Demographics
NPI:1144347204
Name:THE REHAB ZONE, INC.
Entity type:Organization
Organization Name:THE REHAB ZONE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:802-497-0690
Mailing Address - Street 1:20 KIMBALL AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6840
Mailing Address - Country:US
Mailing Address - Phone:802-497-0690
Mailing Address - Fax:802-497-0923
Practice Address - Street 1:248 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1554
Practice Address - Country:US
Practice Address - Phone:802-309-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0003160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT145444879OtherINDIVIDUAL NPI NUMBER