Organization Active NPI

Reactiv Rehab & Recovery LLC

  • Physical Therapist
  • Spring Lake, NJ
National Provider Identifier
1235757592
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REACTIV REHAB & RECOVERY LLC
Practice address
512 Warren Ave
Spring Lake, NJ 07762-1233
Phone
(347) 664-5131
Fax
(732) 813-1565
NPI assigned
Jul 13, 2020
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Diana Delgado
Title
BM
Phone
(908) 427-5233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

512 Warren Ave
Spring Lake, NJ 07762-1233

Mailing address

512 Warren Ave
Spring Lake, NJ 07762-1233
Phone (347) 664-5131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1235757592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 WARREN AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621233",
            "telephone_number": "347-664-5131",
            "fax_number": "732-813-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WARREN AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621233",
            "telephone_number": "347-664-5131",
            "fax_number": "732-813-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACTIV REHAB & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BM",
        "authorized_official_telephone_number": "908-427-5233"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.