Organization Active NPI

Fort Lee Rehabilitation

  • Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1093075160
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NJMCO1411 Issued in NJ
Legal business name
FORT LEE REHABILITATION
Practice address
530 Main St
Suite 3
Fort Lee, NJ 07024-4506
Phone
(201) 592-6200
Fax
(201) 592-6401
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dr. Andrew Mark Rodgers, DCNPI 1700959509
Title
Owner/Physician
Phone
(201) 592-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NJMCO1411 NJ Primary

Addresses

Primary practice location

530 Main St
Suite 3
Fort Lee, NJ 07024-4506

Mailing address

530 Main St
Suite 3
Fort Lee, NJ 07024-4506
Phone (201) 592-6200

National Provider Directory

National Provider Directory

Locations

530 Main St
Ste 3
Fort Lee, NJ 07024
Phone (201) 592-6200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1093075160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MAIN ST",
            "address_2": "SUITE 3",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244506",
            "telephone_number": "201-592-6200",
            "fax_number": "201-592-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MAIN ST",
            "address_2": "SUITE 3",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244506",
            "telephone_number": "201-592-6200",
            "fax_number": "201-592-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LEE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "201-592-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "NJMCO1411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.