=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932020906
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AK JERSEY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2276 IRVINE RD
-----------------------------------------------------
City | WINCHESTER
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40391-7401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-771-0128
-----------------------------------------------------
Fax | 859-771-0128
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 605 PIEDMONT AVE
-----------------------------------------------------
City | ANDERSON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29625-3620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-934-1172
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. ASIF B REHMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 864-934-1172
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225000000X
-----------------------------------------------------
Taxonomy Name | Orthotic Fitter
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------