Active NPI
Four 3 Rehab Corp
- Physical Therapy Clinic/Center
- Wyckoff, NJ
National Provider Identifier
1245010099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.