| Activa Rehabilitation Services Llc | |
|
331 Central Avenue, 1, Orange, NJ 07050-2407 | |
| (973) 673-4600 | |
| (973) 673-4606 |
| Full Name | Activa Rehabilitation Services Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 331 Central Avenue, 1, Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366796039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00445900 (New Jersey) | Primary |
| Provider Name | Olufemi A Dosunmu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194755009 PECOS PAC ID: 1759334626 Enrollment ID: I20050303000015 |
| Provider Name | Sofoluwe Songonuga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619017571 PECOS PAC ID: 5193760551 Enrollment ID: I20050627000104 |
| Provider Name | Maryam Abass |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114307113 PECOS PAC ID: 0840508842 Enrollment ID: I20151103002652 |
| Provider Name | Uche Elewune |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427573880 PECOS PAC ID: 2466711734 Enrollment ID: I20180111002256 |
| Provider Name | Alex Nwabu Aghanwa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538723614 PECOS PAC ID: 9931435849 Enrollment ID: I20190731000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Activa Rehabilitation Services Llc 336 Park Ave, Orange, NJ 07050-2827 Ph: (973) 673-4600 | Activa Rehabilitation Services Llc 331 Central Avenue, 1, Orange, NJ 07050-2407 Ph: (973) 673-4600 |
Donabel Cinco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 458 Lincoln Ave, A1, Orange, NJ 07050 Phone: 973-673-5610 | |
M. P. Nisperos, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 517 Central Ave Ste 1, Orange, NJ 07050 Phone: 973-414-1357 | |
Orange Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 Central Ave, Orange, NJ 07050 Phone: 973-414-1357 Fax: 973-414-0713 | |
Kimberly J. Jeanty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 Joyce St, Orange, NJ 07050 Phone: 570-730-5333 | |
Moradeyo Rachael Oluwakuyide, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 Joyce St, Orange, NJ 07050 Phone: 973-414-1357 | |
Shawnell Henry, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 493 Valley St Apt 16, Orange, NJ 07050 Phone: 973-738-7673 |