The Rebound Group, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00989800 Issued in NJ

Legal business name

THE REBOUND GROUP, LLC

Practice address

233 Rock Rd
# 236
Glen Rock, NJ 07452-1708

Phone

(201) 345-7044

Fax

(201) 345-7062

NPI assigned

Jun 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Glenn David Prettitore, MSPTNPI 1083663926

Title

Owner/Physical Therapist

Phone

(201) 345-7044

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Glenn David Prettitore, MSPT

  • Orthopedic Physical Therapist
  • Glen Rock, NJ
  • NPI 1083663926

  NJ

  Medicare reassignment NPD Authorized official
• Seema Ambady, PT

  • Physical Therapist
  • West Chester, PA
  • NPI 1376796557

  NJ, Physical Therapist

  Medicare reassignment NPD
• Maria Bellla Bernardo-Decurtis, PT, MS

  • Physical Therapist
  • Wyckoff, NJ
  • NPI 1457413387
  NPD (past)

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1346561487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ROCK RD",
            "address_2": "# 236",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521708",
            "telephone_number": "201-345-7044",
            "fax_number": "201-345-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ROCK RD",
            "address_2": "# 236",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521708",
            "telephone_number": "201-345-7044",
            "fax_number": "201-345-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REBOUND GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "PRETTITORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-345-7044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00989800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1083663926",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sung Lim Acupuncture, LLC
• Thomas Supko Jr.
• Kwesi Owusu Tabiri, DC
• Sofiya Tamarov
• Kathleen P Tat, P.T.
• Amit V Trivedi, D.C., M.S.
• Vaidehi Upadhyaya, PHARMD
• Mia Valente
• Felipe Vasquez-Cardenas, OTR
• Village Care Services LLC

• All providers in Glen Rock, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.