Provider Demographics
NPI:1174302160
Name:REHABILITATION PLUS LLC
Entity type:Organization
Organization Name:REHABILITATION PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CATUCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:203-400-8756
Mailing Address - Street 1:75 CARDINAL CIR
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3216
Mailing Address - Country:US
Mailing Address - Phone:203-400-8756
Mailing Address - Fax:
Practice Address - Street 1:75 CARDINAL CIR
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-3216
Practice Address - Country:US
Practice Address - Phone:203-400-8756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty