Individual provider Active NPI

Rebecca Rayappa

  • Physical Therapist
  • Paramus, NJ
National Provider Identifier
1285401117
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02227400 Issued in NJ
Practice address
12 N State RT 17 Ste 118
Paramus, NJ 07652-2644
Phone
(201) 535-4145
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02227400 NJ Primary

Addresses

Primary practice location

12 N State RT 17 Ste 118
Paramus, NJ 07652-2644

Mailing address

53 Cambridge Ter # 53B
Hackensack, NJ 07601-8529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111002751 NJ Practitioner - Physical Medicine and Rehabilitation 7911358130 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Paramus Physical Therapy and Rehabilitation LLCGroup PAC ID 3375911985, 6 clinicians
K2 Physical Therapy LLCGroup PAC ID 7618340357, 8 clinicians

Practice addresses (Care Compare)

12 N State RT
17 Suite 118
Paramus, NJ 07652-2644
Phone (201) 535-4145

245 E Main St
Lower Level West
West Ramsey, NJ 07446-1996
Phone (551) 308-5355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02227400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Physical Therapy and Rehabilitation LLC CurrentSince Dec 1, 2023 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Bergenfield Physical Therapy & Rehab Center LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Maywood Physical Therapy LLC CurrentSince Dec 1, 2023 Accepting new patients
Emerson Physical Therapy LLC CurrentSince Dec 1, 2023 Accepting new patients
Town Chiropractor Paramus LLC Physical Therapist PastSince Dec 1, 2023 Accepting new patients

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

119 E Passaic St
Maywood, NJ 07607
Phone (201) 880-7787

12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1285401117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CAMBRIDGE TER # 53B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N STATE RT 17 STE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522644",
            "telephone_number": "201-535-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAPPA",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02227400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.