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NPI Code Detail

MEDICARE: FOREREHAB THERAPY SERVICES LLC

MEDICARE: FOREREHAB THERAPY SERVICES 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
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
32355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1316017163
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREREHAB THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 3 CROW CANYON CT
Second Line :
City : SAN RAMON
State : CA
Zip : 94583
Country : US
Telephone Number : 925-855-0881
Fax Number : 925-855-9297
Provider Business Practice Location Address
First Line : 2910 MCCLURE ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609
Country : US
Telephone Number : 510-836-3677
Fax Number : 510-836-1938
Authorized Official
Title or Position : MANAGER
Name : JEREMY E GRIMES
Credential :
Telephone Number : 925-855-0881
Provider Enumeration Date : 11/09/2006
Last Update Date : 09/11/2025

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Directions to “FOREREHAB THERAPY SERVICES LLC ” Practice Location

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