| Leading Rehabilitation | |
|
33 Clarendon Ct Metuchen NJ 08840-1504 | |
| (732) 306-9201 | |
| Not Available |
| Full Name | Leading Rehabilitation |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Clarendon Ct, Metuchen, New Jersey |
| Authorized Official Name and Position | Avnee Maganlal Patel (PARTNER) |
| Authorized Official Contact | 7323069201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Rehabilitation 44 Bridge St Metuchen NJ 08840-2278 Ph: (326) 662-1800 | Leading Rehabilitation 33 Clarendon Ct Metuchen NJ 08840-1504 Ph: (732) 306-9201 |
| NPI Number | 1619322013 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 5799076287 |
|---|---|
| Medicare Enrollment ID | O20160613001969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619322013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PTQA00948200 (New Jersey) | Primary |
| Provider Name | Avnee Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164655577 PECOS PAC ID: 8527105543 Enrollment ID: I20091026000422 |
| Provider Name | Jennifer Sandra Devita |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598831810 PECOS PAC ID: 8527257534 Enrollment ID: I20110106000466 |
| Provider Name | Daffney D James |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013174572 PECOS PAC ID: 1355669581 Enrollment ID: I20150417001377 |
| Provider Name | Dimitri D Baldwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245575588 PECOS PAC ID: 5092960674 Enrollment ID: I20151230001697 |
| Provider Name | Donna Marie Mammano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811141708 PECOS PAC ID: 0042501538 Enrollment ID: I20160706000918 |
| Provider Name | Mariemel Gorospe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851718969 PECOS PAC ID: 8123396157 Enrollment ID: I20170616000298 |
| Provider Name | Marc J Massa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184116543 PECOS PAC ID: 1456607837 Enrollment ID: I20180628000632 |
| Provider Name | Yealisha A Kamara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154804680 PECOS PAC ID: 6103178397 Enrollment ID: I20181017000726 |
| Provider Name | Kayla Lynn Gold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689297905 PECOS PAC ID: 0244654069 Enrollment ID: I20200727000101 |
| Provider Name | Sierra Grace Wells |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215548839 PECOS PAC ID: 7719304294 Enrollment ID: I20200828001344 |
| Provider Name | Emily Rose Lasinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386255990 PECOS PAC ID: 2769800655 Enrollment ID: I20200909001189 |
| Provider Name | Adrianna Boucher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255944435 PECOS PAC ID: 7113337205 Enrollment ID: I20201030001128 |
| Provider Name | Rodine Charles Borja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225637895 PECOS PAC ID: 0244640175 Enrollment ID: I20201104002930 |
| Provider Name | Zara Joelle Leibowitz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740889278 PECOS PAC ID: 6002226586 Enrollment ID: I20201112001261 |
| Provider Name | Sharanya Chavva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841754926 PECOS PAC ID: 7911397237 Enrollment ID: I20211201000027 |
| Provider Name | Henika Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114675691 PECOS PAC ID: 6608262910 Enrollment ID: I20220413000035 |
| Provider Name | Caleigh Rose Van Der Veer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780303016 PECOS PAC ID: 4082099965 Enrollment ID: I20220913001459 |
| Provider Name | Angela Margaret Cardaci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366148652 PECOS PAC ID: 8527431113 Enrollment ID: I20230301002246 |
| Provider Name | Hannah-jo Gassaway |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528763661 PECOS PAC ID: 7416322938 Enrollment ID: I20230413002030 |
| Provider Name | Brian Tucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598549164 PECOS PAC ID: 4789038514 Enrollment ID: I20230928000713 |
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