Peak Home Based Rehabilitation LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA00832000 Issued in NJ

Legal business name

PEAK HOME BASED REHABILITATION LLC

Practice address

297 Kinderkamack Rd Ste 101
Suite 278
Oradell, NJ 07649-1535

Phone

(201) 264-2322

NPI assigned

Aug 7, 2006

Last updated

Mar 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Keri Lynn MoranNPI 1184675936

Title

Owner Physical Therapist

Phone

(201) 746-9001

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keri Lynn Moran

  • Physical Therapist
  • Oakland, NJ
  • NPI 1184675936
  Authorized official Same address or phone
• Glenn David Prettitore, MSPT

  • Orthopedic Physical Therapist
  • Glen Rock, NJ
  • NPI 1083663926
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394323200000",
    "number": "1285643130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD STE 101",
            "address_2": "SUITE 278",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491535",
            "telephone_number": "201-264-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD STE 101",
            "address_2": "SUITE 278",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491535",
            "telephone_number": "201-264-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK HOME BASED REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-03-09",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-746-9001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00832000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lillian Paredes, MD
• Chun Y Park, DMD
• Kenneth H Park, DO
• Pathways to Healing & Social Justice
• Miorky Peraza, NP
• Personal Solutions, LLC
• Donna Philibosian
• Jucelia S Pitt, LCSW
• Prescription Dispensary of Oradell LLC (Prescription Dispensary of Oradell)

• Specialist in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2014; 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.