MEDICARE: INTEGRATIVE REHABILITATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1932064797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATIVE REHABILITATION LLC

Provider Business Mailing Address
First Line	:	1105 E COUNTY LINE RD STE 213
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-2178
Country	:	US
Telephone Number	:	732-399-9700
Fax Number	:	516-308-2981

Provider Business Practice Location Address
First Line	:	1105 E COUNTY LINE RD STE 213
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-2178
Country	:	US
Telephone Number	:	732-399-9700
Fax Number	:	516-308-2981

Authorized Official
Title or Position	:	OWNER
Name	:	AVRAHAM FRIEDMAN
Credential	:	PT
Telephone Number	:	347-631-6150

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “INTEGRATIVE REHABILITATION LLC ” Practice Location

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