MEDICARE: MULTI THERAPY CENTER, 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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)	23157	NJ

General Provider Information

NPI Number	:	1538161898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTI THERAPY CENTER, INC.

Provider Business Mailing Address
First Line	:	HOLIDAY PLAZA III, UNIT 15
Second Line	:	600 MULE ROAD
City	:	TOMS RIVER
State	:	NJ
Zip	:	08757
Country	:	US
Telephone Number	:	732-473-1300
Fax Number	:	732-473-0919

Provider Business Practice Location Address
First Line	:	HOLIDAY PLAZA III, UNIT 15
Second Line	:	600 MULE ROAD
City	:	TOMS RIVER
State	:	NJ
Zip	:	08757
Country	:	US
Telephone Number	:	732-473-1300
Fax Number	:	732-473-0919

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHETAN SHANTILAL SHAH
Credential	:	N/A
Telephone Number	:	732-473-1300

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	08/22/2020

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