Organization Active NPI

Four 3 Rehab Corp

  • Physical Therapy Clinic/Center
  • Wyckoff, NJ
National Provider Identifier
1245010099
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOUR 3 REHAB CORP
Practice address
577 Goffle Rd
Wyckoff, NJ 07481-2946
Phone
(513) 454-5355
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
William Bottino
Title
Owner
Phone
(513) 454-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

577 Goffle Rd
Wyckoff, NJ 07481-2946

Mailing address

577 Goffle Rd
Wyckoff, NJ 07481-2946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1245010099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812946",
            "telephone_number": "513-454-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR 3 REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "BOTTINO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-454-5355"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.