=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508903576
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRONG REHAB INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27 TALMADGE CT
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28806-2919
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-253-4169
-----------------------------------------------------
Fax | 828-253-4169
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27 TALMADGE CT
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28806-2919
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-253-4169
-----------------------------------------------------
Fax | 828-253-4169
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER PRESIDENT
-----------------------------------------------------
Name | MRS. JUDY H STRONG
-----------------------------------------------------
Credential | LPT
-----------------------------------------------------
Telephone | 828-253-4169
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 3961
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------