Basic Information
| Provider Information | |||||||||
| NPI: | 1093205973 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBBINS REHABILITATION EAST, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2690 KINGSTON ROAD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | EASTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180458001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9084542404 | ||||||||
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| Practice Location | |||||||||
| Address1: | 51 BROAD ST STE 1 | ||||||||
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| City: | PHILLIPSBURG | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088651206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9084542404 | ||||||||
| FaxNumber: | 9084542431 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2018 | ||||||||
| LastUpdateDate: | 05/24/2021 | ||||||||
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| AuthorizedOfficialLastName: | ROBBINS | ||||||||
| AuthorizedOfficialFirstName: | TODD | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9084542404 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
| NPICertificationDate: | 05/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | NJ | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.