Healthcare Provider Details

I. General information

NPI: 1609814755
Provider Name (Legal Business Name): FOX REHABILITATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E PICCADILLY ST STE 11&14
WINCHESTER VA
22601-3971
US

IV. Provider business mailing address

7 CARNEGIE PLAZA
CHERRY HILL NJ
08003-1020
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax: 877-407-4329
Mailing address:
  • Phone: 877-407-3422
  • Fax: 877-407-4329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY ADAM FOX
Title or Position: PRESIDENT
Credential: PT, DPT, GCS
Phone: 877-407-3422