Organization Active NPI

Ultimate Rehab

  • Physical Therapist
  • Ridgewood, NJ
National Provider Identifier
1043459076
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00479500 Issued in NJ
Legal business name
ULTIMATE REHAB
Practice address
74 Oak St
Ridgewood, NJ 07450-2557
Phone
(201) 759-6924
NPI assigned
Feb 15, 2009
Organization subpart
Yes
Parent organization
AMJDNAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Annette Labarbiera, PT
Title
MGM
Phone
(201) 759-6924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00479500 NJ Primary

Addresses

Primary practice location

74 Oak St
Ridgewood, NJ 07450-2557

Mailing address

74 Oak St
Ridgewood, NJ 07450-2557
Phone (201) 759-6924

National Provider Directory

National Provider Directory

Locations

59 Route 17
Allendale, NJ 07401
Phone (201) 759-6924

701 Broadway
Westwood, NJ 07675
Phone (201) 759-6924

NPI Registry JSON

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1043459076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 OAK ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502557",
            "telephone_number": "201-759-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 OAK ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502557",
            "telephone_number": "201-759-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMJDNA",
        "enumeration_date": "2009-02-15",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "LABARBIERA",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "MGM",
        "authorized_official_telephone_number": "201-759-6924",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00479500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.