Northern Rehab Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00404000 Issued in NJ

Legal business name

NORTHERN REHAB INC.

Practice address

401 Hamburg Tpke
Suite 204
Wayne, NJ 07470-2154

Phone

(973) 790-9010

Fax

(973) 790-9050

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shakeel A Qazi, DPT

Title

Executive Director

Phone

(973) 790-9010

Specialties & licenses 3

Addresses

Other names 1

• Northern Rehabilitation Agency Other name

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326100413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-790-9010",
            "fax_number": "973-790-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-790-9010",
            "fax_number": "973-790-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "SHAKEEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-790-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00347900",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00404000",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00463300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Rehabilitation Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.