MEDICARE: MAX REHAB LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1235718149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAX REHAB LLC

Provider Business Mailing Address
First Line	:	136 LITTLETON RD
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-2519
Country	:	US
Telephone Number	:	646-709-4169
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 LITTLETON RD
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-2519
Country	:	US
Telephone Number	:	646-709-4169
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	AUNG MYAT MIN
Credential	:	PT, DPT
Telephone Number	:	646-709-4169

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	04/07/2021

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Directions to “MAX REHAB LLC ” Practice Location

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