Healthcare Provider Details

I. General information

NPI: 1205952074
Provider Name (Legal Business Name): CHOICE REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 LONGHURST RD
MARLTON NJ
08053-1988
US

IV. Provider business mailing address

48 LONGHURST RD PO BOX 310
MARLTON NJ
08053-1988
US

V. Phone/Fax

Practice location:
  • Phone: 856-596-8531
  • Fax: 856-988-3821
Mailing address:
  • Phone: 856-596-8531
  • Fax: 856-988-3821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0602400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0602400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number0602400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0602400
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0602400
License Number StateNJ

VIII. Authorized Official

Name: MEGAN DRAKE
Title or Position: PRESIDENT
Credential: MSW
Phone: 856-596-8531