NPIMap

Organization Active NPI

Rehabmax Physical Therapy PA

  • Physical Therapist
  • Roselle Park, NJ
National Provider Identifier
1164547113
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABMAX PHYSICAL THERAPY PA
Practice address
329 Chestnut St
Roselle Park, NJ 07204-1948
Phone
(908) 241-4390
Fax
(908) 245-4905
NPI assigned
Mar 20, 2007
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Jaroslaw Czajkowski, DPTNPI 1033148952
Title
Owner
Phone
(908) 241-4390

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

329 Chestnut St
Roselle Park, NJ 07204-1948

Mailing address

329 Chestnut St
Roselle Park, NJ 07204-1948
Phone (908) 241-4390

National Provider Directory

National Provider Directory

Locations

329 Chestnut St
Roselle Park, NJ 07204
Phone (908) 241-4390

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1164547113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041948",
            "telephone_number": "908-241-4390",
            "fax_number": "908-245-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041948",
            "telephone_number": "908-241-4390",
            "fax_number": "908-245-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABMAX PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "CZAJKOWSKI",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-241-4390",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.