Organization Active NPI

Pearl Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Shrewsbury, NJ
National Provider Identifier
1225630122
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PEARL REHABILITATION LLC
Practice address
54 N Park Ave
Shrewsbury, NJ 07702-4413
Phone
(917) 406-0478
NPI assigned
Nov 15, 2020
Last updated
Jan 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Authorized official

Name
Dr. Erin Abigail Pirl, PT, DPT
Title
PT, Owner
Phone
(917) 406-0478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

54 N Park Ave
Shrewsbury, NJ 07702-4413

Mailing address

54 N Park Ave
Shrewsbury, NJ 07702-4413
Phone (917) 406-0478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201204001400 NJ Part B Supplier - Clinic/Group Practice 2466863915 Receives reassigned benefits from 49 practitioners
Practice locations: Shrewsbury, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610236800000",
    "number": "1225630122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N PARK AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024413",
            "telephone_number": "917-406-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N PARK AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024413",
            "telephone_number": "917-406-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-15",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A",
        "authorized_official_last_name": "PIRL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ABIGAIL",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "917-406-0478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.