MEDICARE: HANDS ON REHAB ONE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA00774700	NJ

General Provider Information

NPI Number	:	1215250527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON REHAB ONE, LLC

Provider Business Mailing Address
First Line	:	2114 OAKTREE ROAD
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820
Country	:	US
Telephone Number	:	732-494-5999
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 HADLEY RD
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1183
Country	:	US
Telephone Number	:	908-279-6890
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NIRALI PATEL
Credential	:	RPT
Telephone Number	:	732-494-5999

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

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