Active NPI
Montclair Rehab Services, LLC
- Physical Therapy Clinic/Center
- Montclair, NJ
National Provider Identifier
1104126515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MONTCLAIR REHAB SERVICES, LLC
- Practice address
- 110 Greenwood Ave
Montclair, NJ 07042-4010 - Phone
- (973) 783-5589
- NPI assigned
- Nov 1, 2010
- Last updated
- Nov 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sangeeta Desai, RPT
- Title
- Member
- Phone
- (908) 764-3074
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NJ | Primary |
Addresses
Primary practice location
110 Greenwood Ave
Montclair, NJ 07042-4010
Mailing address
6603 Hana Rd
Edison, NJ 08817-2546
Phone (908) 764-3074
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapy Clinic/Center
- Elizabeth, NJ
- NPI 1316015001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288569600000",
"number": "1104126515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6603 HANA RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172546",
"telephone_number": "908-764-3074",
"fax_number": "973-783-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GREENWOOD AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424010",
"telephone_number": "973-783-5589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTCLAIR REHAB SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "SANGEETA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "908-764-3074",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
- Montclair Pediatrics
- Montclair Performance Health and Chiropractic Inc
- Montclair Physical Therapy Associates PA
- Montclair Physicians Group
- Montclair Public Schools
- Montclair Spine & Sports Rehab, LLC
- Montclair State University (Center for Autism and Early Childhood Mental Health)
- Montclair State University (Montclair State Clinical Services Group)
- Montclair State University Health Center
- Montclair State University Occupational Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.