Active NPI
Rena Rebecca Shulman, PT
- Physical Therapist
- Teaneck, NJ
National Provider Identifier
1083875405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00808100
- Practice address
- 632 Norfolk St
Teaneck, NJ 07666-2966 - Phone
- (201) 836-8221
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00808100 | NJ | Primary |
Addresses
Primary practice location
632 Norfolk St
Teaneck, NJ 07666-2966
Mailing address
632 Norfolk St
Teaneck, NJ 07666-2966
Phone (201) 836-8221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Rehab Consultants, LLC | Physical Therapist | Current | Accepting new patients |
Locations
617 Oradell Ave
Unit 9
Oradell, NJ 07649
Phone (201) 661-0811
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Englewood Cliffs, NJ
- NPI 1750458782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1083875405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 NORFOLK ST",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662966",
"telephone_number": "201-836-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 NORFOLK ST",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662966",
"telephone_number": "201-836-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULMAN",
"first_name": "RENA",
"middle_name": "REBECCA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00808100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.