MEDICARE: REHAB GROUP OF MORRISTOWN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT0000004519	TN

General Provider Information

NPI Number	:	1205932928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB GROUP OF MORRISTOWN, INC.

Provider Business Mailing Address
First Line	:	2259 SANDSTONE DR
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-2593
Country	:	US
Telephone Number	:	423-317-9699
Fax Number	:	423-317-9225

Provider Business Practice Location Address
First Line	:	2259 SANDSTONE DR
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-2593
Country	:	US
Telephone Number	:	423-317-9699
Fax Number	:	423-317-9225

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHRISTOPHER SCOTT COLE
Credential	:	PT
Telephone Number	:	423-317-9699

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	11/15/2021

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