Organization Active NPI

Reaction Rehab Physical Therapy

  • Physical Therapist
  • Highland Park, NJ
National Provider Identifier
1093201535
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REACTION REHAB PHYSICAL THERAPY
Practice address
67 Donaldson St
Highland Park, NJ 08904-2109
Phone
(908) 278-9577
Fax
(732) 218-8702
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Bradley Cohen, PTNPI 1174846679
Title
Owner
Phone
(908) 278-9577

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: 193400000X SINGLE SPECIALTY GROUP 225100000X NJ Primary

Addresses

Primary practice location

67 Donaldson St
Highland Park, NJ 08904-2109

Mailing address

67 Donaldson St
Highland Park, NJ 08904-2109
Phone (908) 278-9577

Other names 1

  • Reaction Rehab Physical Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204000791 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870837750 Receives reassigned benefits from 4 practitioners
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1093201535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042109",
            "telephone_number": "908-278-9577",
            "fax_number": "732-218-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042109",
            "telephone_number": "908-278-9577",
            "fax_number": "732-218-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACTION REHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-278-9577",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reaction Rehab Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.