Healthcare Provider Details

I. General information

NPI: 1235876103
Provider Name (Legal Business Name): FEEL WELL REHAB CLINIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 GRAPE ST
NEW BEDFORD MA
02740-2104
US

IV. Provider business mailing address

92 GRAPE ST
NEW BEDFORD MA
02740-2104
US

V. Phone/Fax

Practice location:
  • Phone: 508-984-5200
  • Fax:
Mailing address:
  • Phone: 508-984-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: KRISHNA GIDWANI
Title or Position: OWNER
Credential: COF
Phone: 508-984-5200