Summit Hand & Upper Extremity Rehabilitation Inc

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

46TR00291600 Issued in NJ

Legal business name

SUMMIT HAND & UPPER EXTREMITY REHABILITATION INC

Practice address

670 Bergen Blvd
Ridgefield, NJ 07657-1448

Phone

(201) 497-6211

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Justin Hurst, MS,OTR/L,CHTNPI 1881717015

Title

Owner

Phone

(201) 892-2211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Justin William Hurst, MS, OTR/L; CHT

  • Hand Occupational Therapist
  • Westwood, NJ
  • NPI 1881717015
  Medicare reassignment Authorized official
• Jayne C Hurst, MS, OTR-L, CHT

  • Occupational Therapist
  • Westwood, NJ
  • NPI 1861561987
  Medicare reassignment

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1275955908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571448",
            "telephone_number": "201-497-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HAND & UPPER EXTREMITY REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-892-2211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,OTR/L,CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00291600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hand Occupational Therapist in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Hand Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.