DMR Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01148000 Issued in NJ

Legal business name

DMR REHABILITATION

Practice address

17-15 Maple Ave
Fair Lawn, NJ 07410-1552

Phone

(551) 404-5405

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Michael D Ryan, PTNPI 1316049612

Title

Co-Owner

Phone

(551) 404-5405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Michael D. Ryan, P.T.

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1316049612
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel T. Ryan, P.T.

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1508968892
  Medicare reassignment Care Compare group NPD
• Sonal Dhawan, P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1700018058

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1043682099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 VAN HOUTEN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812424",
            "telephone_number": "201-848-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-15 MAPLE AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101552",
            "telephone_number": "551-404-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMR REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "551-404-5405",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01148000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Diaz, MD
• Alyssa Mary Dicarlantonio, LSW
• Katherina Antonova Dimova, PHARMD
• John Christopher Ding, D.M.D.
• Briana Dirusso, LSW
• Esther Doh
• Alexis Dolan
• James S Dolgin, MD
• Paige Dommenge, RN
• Donald H Kutner DO LLC

• Physical Therapy Clinic/Center in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.