# FIRST REHAB GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417278003
- **Authorized official:** BARUCH GOTTLIEB (DIRECTOR)
- **Authorized official phone:** (718) 781-4703

## Contact information

- **Practice address:** 1352 RIVER AVE STE 3, LAKEWOOD, NJ 08701-5646
- **Practice address phone:** (732) 987-5122
- **Mailing address:** 282D CEDAR BRIDGE AVENUE, LAKEWOOD, NJ 08701-4265
- **Mailing address phone:** (732) 987-5122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 07/22/2022