Healthcare Provider Details

I. General information

NPI: 1548387897
Provider Name (Legal Business Name): MK REHABILITATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 W CENTRAL ST
FRANKLIN MA
02038-1833
US

IV. Provider business mailing address

385 W CENTRAL ST
FRANKLIN MA
02038-1833
US

V. Phone/Fax

Practice location:
  • Phone: 508-528-0147
  • Fax: 508-528-6470
Mailing address:
  • Phone: 508-528-0147
  • Fax: 508-528-6470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number15545
License Number StateMA

VIII. Authorized Official

Name: MR. MATTHEW JOHN TIBERT
Title or Position: PRESIDENT
Credential: PT, DPT, CSCS
Phone: 508-528-0147