Organization Active NPI

Therapists Rehabilitation Group

  • Physical Therapist
  • Union, NJ
National Provider Identifier
1003816562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPISTS REHABILITATION GROUP
Practice address
2143 Morris Ave
#7
Union, NJ 07083-6036
Phone
(908) 688-2077
Fax
(908) 810-1789
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Magdy K Elttouny, PT
Title
Administrator
Phone
(908) 688-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2143 Morris Ave
#7
Union, NJ 07083-6036

Mailing address

2143 Morris Ave
#7
Union, NJ 07083-6036
Phone (908) 688-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622001537 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799760880 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

2143 Morris Ave
Ste 7
Union, NJ 07083
Phone (908) 688-2077

2143 Morris Ave
Ste 6
Union, NJ 07083

200 Pleasant Valley Way
#J
West Orange, NJ 07052
Phone (973) 731-6000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003816562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE",
            "address_2": "#7",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836036",
            "telephone_number": "908-688-2077",
            "fax_number": "908-810-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE",
            "address_2": "#7",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836036",
            "telephone_number": "908-688-2077",
            "fax_number": "908-810-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPISTS REHABILITATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELTTOUNY",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "908-688-2077",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.