Organization Active NPI

Rockland Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Suffern, NY
National Provider Identifier
1285798652
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROCKLAND PHYSICAL THERAPY PLLC
Practice address
2 Executive Blvd
Suite 204a
Suffern, NY 10901-4164
Phone
(845) 357-5686
Fax
(845) 357-3897
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Mrs. Lynda Messina Angus, PTNPI 1881795920
Title
Clinical Director
Phone
(845) 357-5686

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2 Executive Blvd
Suite 204a
Suffern, NY 10901-4164

Mailing address

2 Executive Blvd
Suite 204a
Suffern, NY 10901-4164
Phone (845) 357-5686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130214000005 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507768629 Receives reassigned benefits from 2 practitioners
Practice locations: West New York, NJ

National Provider Directory

National Provider Directory

Locations

4914 Kennedy Blvd W
Ste 204
West New York, NJ 07093
Phone (201) 974-1433

2 Executive Blvd
Ofc 204A
Suffern, NY 10901
Phone (845) 351-5686

Practitioners & affiliated clinicians

Practitioners 7

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1285798652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "SUITE 204A",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-357-5686",
            "fax_number": "845-357-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "SUITE 204A",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-357-5686",
            "fax_number": "845-357-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "ANGUS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "MESSINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "845-357-5686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.