Jersey Shore Rehab Agency Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QAO4756 Issued in NJ

Legal business name

JERSEY SHORE REHAB AGENCY INC

Practice address

11 N Westfield Rd
Howell, NJ 07731-2317

Phone

(732) 814-8900

Fax

(732) 863-1707

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Abisoye O Ariyo, DPT

Title

President

Phone

(732) 814-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225100555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087010176",
            "telephone_number": "732-814-8900",
            "fax_number": "732-863-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N WESTFIELD RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312317",
            "telephone_number": "732-814-8900",
            "fax_number": "732-863-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE REHAB AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARIYO",
        "authorized_official_first_name": "ABISOYE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-814-8900",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QAO4756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Jacobs
• Jasper NJ LLC
• Jeffrey Lin MD LLC
• Nicole Olivia Jennings-Girau, MS NCC LPC CCTP
• Jersey Shore Healing
• JM Vip Medical LLC
• Joana Brown DMD LLC
• John L. Costello OD PA
• Jeffrey A. Johnson, MSW, LCSW
• Tom Jones, LCSW

• Physical Therapist in Howell, NJ
• Providers in Howell, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.