Montclair Rehab Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

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

Organization subpart

No

Locations

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

Specialties & licenses 1

Addresses

The complete 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": []
}

• 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
• Montclair State University
• Montclair State University Health Center
• Montclair State University Occupational Health

• All providers in Montclair, NJ
• Physical Therapy Clinic/Center in New Jersey

• 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.

Verify at the official NPI Registry.