Organization Active NPI

Back & Body Rehabilitation LLC

  • Physical Therapist
  • Kendall Park, NJ
National Provider Identifier
1245875228
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACK & BODY REHABILITATION LLC
Practice address
3010 Route 27
Suite 4
Kendall Park, NJ 08824
Phone
(908) 209-9951
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Mr. Anish Reddy, DPTNPI 1194192344
Title
Doctor of Physical Therapy/Ceo
Phone
(908) 209-9951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3010 Route 27
Suite 4
Kendall Park, NJ 08824

Mailing address

116 Bramble Dr
Morganville, NJ 07751-4075
Phone (908) 209-9951

National Provider Directory

National Provider Directory

Locations

3000 State Route 27
Ste 4
Kendall Park, NJ 08824

3010 State Route 27
Kendall Park, NJ 08824
Phone (908) 209-9951

3010 State Route 27
Ste 4
Kendall Park, NJ 08824
Phone (908) 209-9951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1245875228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRAMBLE DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514075",
            "telephone_number": "908-209-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 ROUTE 27",
            "address_2": "SUITE 4",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "908-209-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & BODY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/CEO",
        "authorized_official_telephone_number": "908-209-9951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.