Organization Active NPI

Community Rehabilitation Center, LLC.

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1124261201
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24314 Issued in NJ
Legal business name
COMMUNITY REHABILITATION CENTER, LLC.
Practice address
1692 Oak Tree Rd
Edison, NJ 08820-2853
Phone
(732) 635-9729
Fax
(732) 906-7801
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Mr. Harshad Patel, PHD
Title
Ceo
Phone
(732) 635-9729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 24314 NJ Primary

Addresses

Primary practice location

1692 Oak Tree Rd
Edison, NJ 08820-2853

Mailing address

1692 Oak Tree Rd
Edison, NJ 08820-2853
Phone (732) 635-9729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181030002191 NJ Part B Supplier - Clinic/Group Practice 8123179165 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1124261201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202853",
            "telephone_number": "732-635-9729",
            "fax_number": "732-906-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202853",
            "telephone_number": "732-635-9729",
            "fax_number": "732-906-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REHABILITATION CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-635-9729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "24314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.